Keywords
tongue abscess
treatment
complications
How to Cite
Abstract
Conducted clinicoanamnestic study in 102 patients with abscesses and phlegmon of tongue allowed: to clarify the reasons and timing of late hospitalization, study the characteristics of diagnosis and treatment of patients with phlegmon tongue and the simultaneous defeat of the neighboring cellular spaces.
Purpose of work. Improving the efficiency of the treatment of patients with acute purulent-inflammatory diseases of tongue based on the study of the characteristics of their diagnosis and clinical course.
Materials and methods. For 2 years from 2014 to 2015 in the dentist's department of «Kharkiv Regional Clinical Hospital – Center for emergency medical care and disaster medicine» with inflammatory diseases of 1626 people were hospitalized, including the localization process in of tongue – 102 people, accounting for 6,3%. Thus, we can say that the more of the patients with hospitalization of more than 4 nights – 75 people respectively. In percentage terms, this amounts to 73,5% of all patients.
Causes of late hospitalization (more than 4 days) were late uptake in hospitals by patients – 62 men (82.6%) is also delayed and incorrect diagnosis – 13 persons (17.4%).
Among the most common mistakes in establishing the diagnosis in the prehospital patients with abscesses and phlegmon of tongue were: acute lymphadenitis, acute sialadenitis, sore throat, tonsillitis, median cyst of neck.
Causes of abscesses tongue was in main case odontogenic factors (acute and chronic periodontitis, abscess, osteomyelitis, pericoronitis). Second place (3 of 87) – injury. In patients with abscesses of tongue, on the other hand, the most frequent cause (8 of 15) had an injury (damage to the tongue a sharp edge of the teeth, prosthesis, biting tongue, wounded fish and animal bones). It should be noted that the localized abscesses traumatic origin in the dorsum of the tongue (3) and its side sections (5). The flow of phlegmon and abscesses of tongue was different both in clinical manifestations and on the severity of the process. The clinical picture is dependent on both the location and extent, and on the depth of the purulent inflammatory focus. The general condition of patients with phlegmon of tongue and adjacent cellular spaces was moderately severe, severe or very severe, especially in cases when the process involved tissues of the mouth floor.
In addition to the surgical and medical treatment methods used to address the causes of the disease, in particular, are overcome traumatic factors (stitching the edges of sharp teeth, dentures correction), carried out rehabilitation of the oral cavity and upper respiratory tract.
The average length of stay of patients in the department depended on the receipt timing and severity of the process: for patients with phlegmon of tongue she was 8–12 days for patients with tongue abscess 5–7 days.
Localization of phlegmon of the tongue near the throat often represents a real threat to the rapid emergence of the dislocation and stenotic asphyxia patient.
Given the considerable severity of the clinical course of phlegmon tongue and the possibility of the spread of inflammation, especially in the treatment of patients should be considered the earliest surgical intervention followed by dialysis wounds and correcting fluid therapy.
Of great importance in the prevention of abscesses and phlegmon tongue is timely sanitation of the oral cavity and upper respiratory tract.
Keywords: phlegmon of tongue, tongue abscess, treatment, complications.
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