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Facial Cellulitis of Dental Origin: Experiments from the University of BouakéHealth Centre (Cote d’Ivoire)

Open Journal of Stomatology 2020年第5期10卷 97-105页

作者： n’guessan eric kouassi zegbeh Ogou Kevin Elie Digbeu Pornan Issa Jules Bérété Faozo Landry Teti Angel Michael Goulé Grébéret Emmanuel Crezoit Department of Stomatology and Maxillo-Facial Surgery of the University of Bouaké Health Centre Bouaké Cote d’Ivoire Department of Ophthalmology of the Bouaké University of Bouaké Health Centre Bouaké Cote d’Ivoire

Context: Facial cellulitis of dental origin is relatively frequent and severe. Objective: The aim of this document to describe the epidemiological, clinical, therapeutic and evolutionary aspects of facial cellulitis of dental origin in Bouaké. Methodology: This was a retrospective and descriptive study carried out in the stomatology and maxillofacial surgery department of the University of Bouaké Health centre over a period of 19 months (January 2018 to October 2019). All patients with facial cellulitis of dental origin were included. The parameters studied were epidemiological, clinical, therapeutic and evolutionary. Results: 179 patients were collected (hospital prevalence of 20.79%). The average age was 34 years (min 1-year-old and max 80-year-old). The sex ratio was 1.18. Among the patients, some were craftsmen (31.28%) and others were farmers (21.79%). The favourable factors included the nonsteroidal anti-inflammatory (77.65%) and traditional therapeutics (44.13%). The average number of days before consultation was 13 days (min 1 day and max 75 days). There were 7 cases of chronic cellulitis (3.91%) and 172 cases of acute cellulitis, including 107 (62.21%) circumscribed cellulitis, 51 (29.65%) diffused cellulitis, and 14 (8.14%) necrotizing fasciitis. The causal lesion was tooth decay (96.09%) and dental avulsion without antibiotherapy (3.91%). Incision and drainage was made in 145 patients (81%) necrosectomy surgery in 54 patients (30.17%). The mortality rate was 13.96%. Conclusion: Facial cellulitis of dental origin are clinically polymorphic with significant mortality prompting increased dental decay prevention actions.

关键词： Cellulitis Dental Suppuration necrosis

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Craniofacial Horn Injuries: Rares Lesional Entities at the University Hospital of Bouaké(Côte d’Ivoire)

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Open Journal of Stomatology 2018年第7期8卷 250-257页

作者： eric kouassi zegbeh-n’guessan Adoubs Célestin Benie Gohi Serge Irie Bi Rokiatou Kone-Kamate Serge Yao Konan Grébéret Emmanuel Crezoit Department of Odontostomatology and Maxillofacial Surgery of the University Hospital of Bouaké C&ocirc te d’Ivoire Department of Pediatric Surgery CHU Bouaké C&ocirc te d’Ivoire Resuscitation and Anesthesiology Department of the University Hospital of Bouaké C&ocirc te d’Ivoire Department of neurosurgery of the University Hospital of Bouaké C&ocirc te d’Ivoire

Aim: Describe the epidemiological, clinical and therapeutic particularities of craniofacial trauma by encornment. Type of study: This was a retrospective and descriptive study. Material and methods: It took place in the surgical emergency departments of Bouaké (Côte d’Ivoire) University Hospital from January 2013 to December 2017, for a period of 5 years. It focused on patients of 0 to 5 years old admitted for craniofacial trauma involving the horn of a bovine. Results: Of the 26 cases of traumatic encornment, 11 were craniofacial location (42%). There were 9 male and 2 female victims. The average age was 10.54 years with extremes of 6 months and 24 years. Patients came from rural areas of Côte d’Ivoire. Bovids were responsible for all causal encornements. The lesions involved the scalp (3 cases) and the face (8 cases). The lesions were cutaneous-musculo skeletal in 7 cases. The surgical treatment included debridement associated to a suture in all cases and associated with maxillo mandibular blockage in 3 cases and duro-cranioplasty in one case. Conclusion: In the local context, facial cranio traumatism by encornement is rare and seems to be essentially infantile, masculine and rural problem.

关键词： Cranio Facial Trauma Encornement Cow

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Repair of Complex Post-Traumatic Facial Dislocations: Indications, Therapeutic Difficulties and Results at Treichville University Hospital, Abidjan, Cote d’Ivoire

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Open Journal of Stomatology 2022年第11期12卷 337-345页

作者： A. M. R. E. Anzouan-Kacou Christophe Konan Allah Romaric Evrard Assi Yapo eric kouassi zegbeh n’guessan Kouadio Emmanuel Konan Department of Maxillofacial Surgery and Stomatology Treichville University Hospital Abidjan Cote d’Ivoire Department of Reconstructive and Aesthetic Plastic Surgery Hand Surgery and Burns Treichville University Hospital Abidjan Cote d’Ivoire Department of Stomatology and Maxillo-Facial Surgery University of Bouaké Health Centre Bouaké Cote d’Ivoire

Introduction: Complex post-traumatic facial disfigurements are caused by civilian or ballistic trauma. Their repercussions are functional, aesthetic and psychological. The initial emergency or secondary management of facial damage is difficult. The objective is to report, through the clinical observation of three patients, the results of the management of complex facial dislocations in a context of limited technical resources. Patients and methods: Three complex post-traumatic facial dislocations were managed between May 2006 and June 2017. Results: Primary treatment and secondary repair were established on a case-by-case basis. Local autoplasty was the indication of choice. Multidisciplinary management resulted in satisfactory functional and cosmetic outcomes. Two of the patients were lost to follow-up before the end of treatment. Discussion: The complete management of facial dislocations remains difficult and complex, in an extreme exercise situation. In an emergency, the priority is to save the life of the injured person. Several factors are involved in the therapeutic decision: the choice of the maxillofacial reconstruction technique, the availability of the technical platform, the financial capacity and the psychological state of the patient and his entourage. Sequential and multidisciplinary treatment gives satisfactory results in terms of morphology, function and aesthetics, despite the limited technical resources available. Psychological support is an essential complement for successful socio-professional and family reintegration.

关键词： Dislocation Face Complex Difficulties Treatment

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Management of Congenital Malformations of the Face in the GbèkèRegion (Côte d’Ivoire)

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Open Journal of Stomatology 2022年第5期12卷 166-174页

作者： eric kouassi zegbeh-n’guessan Rokiatou Kone Pornan Issa Jules Berete Ernest Martial Djemi Affoué Ba Diane Marina Amenou Tuo Karna Drissa Grébéret Emmanuel Crezoit Department of Odontology and Maxillofacial Surgery Bouaké University Hospital Bouaké C&ocirc te d’Ivoire Department of Stomatology and Maxillofacial Surgery Bamako University Hospital National Center of Odonto-Stomatology Bamako Mali

Background: Congenital malformations of the face are relatively frequent in the Gbèke region (Côte d’Ivoire). Objectives: Identify the epidemiological aspects, describe the management method, distinguish the anatomical-clinical aspects and identify the therapeutic methods and their results. Material and methods: A retrospective and descriptive study was carried out over a period of 8 years (2012-2019) in the Odontostomatology and Maxillofacial Surgery Department of the University Hospital Centre (Bouaké) and in the “Jean Baptiste Vatelot” religious hospital of Bouaké. The study concerned patients whose congenital malformations of the face had undergone primary surgery. Results: 439 patients were collected, i.e. an annual frequency of 54.88 cases per year. The sex ratio was 1.07 and the mean age was 6.82 years (range 5 months to 48 years). There were 434 (98.86%) cleft lips and palates and 5 (1.14%) Tessier’s clefts. Among the cleft lip and palate, there were 214 (49.31%) cleft lip, 127 (29.26%) cleft palate and 93 (21.43%) combined cleft lip and cleft palate. Surgical treatments numbered 532 and included 293 (55.08%) cheiloplasties, 113 (21.24%) pushback uranostaphyloraphies and 90 (16.92%) double flap palatoplasties. Complications were noted in 43 cases. Conclusion: Congenital malformations of the face were managed relatively late in the Gbèkè region with satisfactory results. Ante-natal diagnosis, early psychotherapy and a better screening system should allow an improvement of the management.

关键词： Congenital Malformation Face

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