Assessment of the development of head and neck infections – comparison of cohorts of patients with and without diabetes mellitus
Authors:
Dušan Hirjak; Branislav Gális; Ida Kupcová
Authors‘ workplace:
Klinika ústnej, čeľustnej a tvárovej chirurgie LF UK a UNB, Nemocnica Ružinov, Bratislava
Published in:
Forum Diab 2016; 5(3): 155-159
Category:
Topic
Overview
The aim of the submitted study is to assess the impact of diabetes on the course of non-specific infections affecting the head and neck and comparison with a cohort without diabetes. The study comprises a cohort of 459 patients, 31 (7 %) of which are included in the cohort of patients with diabetes mellitus. An average age of patients without diabetes in the monitored cohort was 41 years and that of patients with diabetes 54 years. The comparison of objective symptoms has not identified any major significant difference between the compared cohorts. The results of the study on the monitored cohort lead us to the conclusion that patients with diabetes are not a population clearly at high risk of complications and aggravated development of nonspecific jaw and neck infections.
Key words:
complications risk of infections in diabetes – diabetes mellitus – head and neck infections – comparison between diabetic and non-diabetic patients
Sources
1. Byers J, Lowe T, Goodall CA. Acute cervico-facial infection in Scotland 2010: Patterns of presentation, patient demographics and recording of systemic involvement. Br J Oral Maxillofac Surg 2012; 50(7): 626–630. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bjoms.2011.11.013>.
2. Conway DI, McMahon AD, Smith K et al. Components of socioeconomic risk associated with head and neck cancer: A population-based case-control study in Scotland. Br J Oral Maxillofac Surg 2010; 48(1): 11–17. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bjoms.2009.03.020>.
3. Fernandes KS, Glick M, de Souza MS et al. Association between immunologic parameters, glycemic control, and postextraction complications in patients with type 2 diabetes. J Am Dent Assoc 2015; 146(8): 592–599. Dostupné z DOI: <http://dx.doi.org/10.1016/j.adaj.2015.02.014>.
4. Handley TP, Devlin MF, Koppel DA et al. The Sepsis Syndrome in Odontogenic Infection. JICS (Journal of the Intensive Care Society) 2009; 10(1): 21–25. Dostupné z DOI: <http://dx.doi.org/10.1177/175114370901000107>.
5. Hidaka H, Yamaguchi T, Hasegawa J et al. Clinical and bacteriological influence of diabetes mellitus on deep neck infection: Systematic review and meta-analysis. Head Neck 2015; 37(10): 1536–1546. Dostupné z DOI: <http://dx.doi.org/10.1002/hed.23776>.
6. Huang L, Jiang B, Cai X et al. Multispace infections in the head and neck: Do underlying systemic diseases have a Predictive role in life-threatening complications? J Oral Maxillofac Surg 2015; 73(7): 1320.e1–10. Dostupné z DOI: <http://dx.doi.org/10.1016/j.joms.2015.04.002>.
7. Ichikawa K, Sato Y, Suzuki S et al. Fatal descending necrotizing mediastinitis from odontogenic infection in a diabetic patient. J Jpn Diabetes Soc 1997; 40(8): 557–562.
8. Juncar M, Bran S, Juncar RI et al. Odontogenic cervical necrotizing fasciitis, etiological aspects. Niger J Clin Pract 2016; 19(3): 391–396. Dostupné z DOI: <http://dx.doi.org/10.4103/1119–3077.179278>.
9. Juncar M, Popa AR, Baciuţ MF et al. Evolution assessment of head and neck infections in diabetic patients – A case control study. J Craniomaxillofac Surg 2014; 42(5): 498–502. Dostupné z DOI: <http://dx.doi.org/10.1016/j.jcms.2013.06.009>.
10. Rao DD, Desai A, Kulkarni RD et al. Comparison of maxillofacial space infection in diabetic and nondiabetic patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110(4): e7–12. Dostupné z DOI: <http://dx.doi.org/10.1016/j.tripleo.2010.04.016>.
11. Sugata T, Fujita Y, Myoken Y et al. Cervical cellulitis with mediastinitis from an odontogenic infection complicated by diabetes mellitus: Report of a case. J Oral Maxillofac Surg 1997; 55(8): 864–869.
12. Wang A. Ahani MA, Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg 2005; 34(6): 646–649.
13. Wang L, Tai C, Kuo W et al. Predisposing factors of complicated deep neck infections: 12-year experience at a single institution. J Otolaryngol Head Neck Surg 2010; 39(4): 335–341.
14. Yang W, Hu L, Wang Z et al. Deep neck infection: A review of 130 cases in Southern China. Medicine (Baltimore) 2015; 94(27): e994. Dostupné z DOI: <http://dx.doi.org/10.1097/MD.0000000000000994>.
15. Zheng L, Yang C, Kim E et al. The clinical features of severe multi-space infections of the head and neck in patients with diabetes mellitus compared to non-diabetic patients. Br J Oral Maxillofac Surg 2012;50(8):757–761. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bjoms.2012.01.019>.
16. Zheng L, Yang C, Zhang W et al. Is there association between severe multispace infections of the oral maxillofacial region and diabetes mellitus? J Oral Maxillofac Surg 2012; 70(7): 1565–1572. Dostupné z DOI: <http://dx.doi.org/72. 10.1016/j.joms.2011.07.010>.
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Diabetology Endocrinology Internal medicineArticle was published in
Forum Diabetologicum
2016 Issue 3
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