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Complications of Cervicofacial cellulitis Supported in University Hospital Yalgado Ouedraogo

International Journal of Otolaryngology and Head & Neck Surgery 2016年第3期5卷 115-120页

作者： Yvette Marie Chantal Gyé bré Aboubacar Goué ta Noé Zaghré Moustapha Sé ré mé Bertin Priva Oué draogo Kampadilemba Ouoba Service d’ORL et de CC-F CHU-YO Ouagadougou Burkina Faso Service d’ORL et de CC-F Blaise Compaoré Ouagadougou Burkina Faso

Introduction: The complications of cervicofacial cellulitis are one of the most serious emergencies Oto-Rhino-Laryngology (ORL). These complications are still observed in our context despite the advent of antibiotics. The aim of our study was to describe the clinical presentation and management of patients admitted to our institution for complications of cervicofacial cellulitis. Patients and Methods: It came from a retrospective study in the ORL service, a department of Yalgado Ouédraogo Hospital of Ouagadougou, between January 2005 and December 2014, during which all patients with cervicofacial cellulitis complications were identified. Results: We collected over 10 years, 69 cases of complicated cellulitis, a frequency of 54.3% of cervicofacial cellulitis and 2.3% of all hospitalizations. The group included 33% women and 67% men to 29 years of average age. The non-steroidal anti-inflammatory isolated was the main factor contributing 59.4%. The front door was mainly dental 43.5% and pharyngeal 36.2%. The most frequent complications were mediastinitis thoracic dissemination 24.6%, sepsis 21.7% and spontaneous fistula 20.3% with orostome or pharyngostome. Medico-surgical treatment was associated with a reanimation in most cases. The outcome was favorable in 79.7% of cases. Mortality was 17.4%. Conclusion: The complications of cervicofacial cellulitis are frequent and often life-threatening. Their management is done in a multidisciplinary framework. The prevention and early treatment remain the pledge of their control.

关键词： Complications cervicofacials cellulitis

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