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Tropical Dental Journal - 1st Pan African international dental journal


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Published in French in Tropical Dental Journal Volume 45 - June 2022 pages 37-42

Docteur Léandre Sylvestre Haminason Anatomopathological aspects of odontogenic cervico-facial cellulitis. About 357 casesAnatomopathological aspects of odontogenic cervico-facial cellulitis. About 357 cases est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Authors : F.V.A Rakotoarimanana, L.S. Haminason, A.F. Rasolondraibe, R.H. Andriamanantena, J.A.B Razafindrabe - Madagascar


Résumé

Introduction : La cellulite cervico-faciale odontogène se définit comme une infection de l’espace cellulo-adipeux de la face et du cou suite à une nécrose pulpaire. Notre étude avait pour objectif de décrire les aspects anatomopathologiques des cellulites cervico-faciales odontogènes vues dans le Centre Hospitalier Universitaire Joseph Dieudonné Rakotovao (CHU/JDR) Antananarivo Madagascar.
Patients et méthodes : Il s’agit d’une étude rétrospective descriptive transversale effectué au CHU JDR Antananarivo, allant de mars 2015 à février 2016. Les paramètres étudiés étaient le type et la situation de la dent causale, le stade évolutif et la topographie de la cellulite.
Résultats : Les cellulites étaient au stade collecté dans 53% des cas et séreux dans 47% des cas. Deux-cent-trente cellulites étaient circonscrites et 127 étaient diffuses. Les dents causales étaient mandibulaires dans 84,08% des cas. Le groupe prémolo-molaire était en cause dans 89,91% des cas. La cellulite mandibulaire s’était diffusée vers la région linguale dans 38% des cas, vers la région vestibulaire dans 36% des cas et en région vestibulo-linguale dans 26% des cas. Les dents mandibulaires étaient responsables d’une diffusion vers la région génienne basse et sublinguale (n = 61), vers la région cervicale (n = 4) et thoracique (n = 1). La cellulite maxillaire diffusait surtout en région vestibulaire (56%). Les cellulites des dents maxillaires postérieures diffusaient dans la région génienne haute, tandis que celles des dents maxillaires antérieures diffusaient vers la région labiale et parfois la région périorbitaire.
Conclusion : Cette étude a pu montrer les multiples topographies des cellulites. Les molaires mandibulaires étaient les plus fréquemment en cause. La forme circonscrite prédominait.

Abstract
Anatomopathological aspects of odontogenic cervico-facial cellulitis. About 357 cases

Introduction: Odontogenic cervicofacial cellulitis is defined as an infection of the cellulo-adipose space of the face and neck following pulp necrosis. Our study aimed to describe the anatomopathological aspects of odontogenic cervico-facial cellulitis seen in the Joseph Dieudonné Rakotovao University Hospital Center (UTH/JDR) Antananarivo Madagascar.
Patients and method: This is a retrospective descriptive cross-sectional study carried out at the UTH JDR Antananarivo, from March 2015 until February 2016. We studied the type and location of the causal tooth, the stage of development and the topography of the cellulitis.
Results: Cellulitis was at the collected stage in 53% of cases and serous in 47% of cases. Two hundred and thirty cellulites were circumscribed and 127 were diffuse. Causal teeth were mandibular in 84.08% of cases. The premolo-molar group was involved in 89.91% of cases.
Mandibular cellulitis had spread to the lingual region in 38% of cases, to the vestibular region in 36% of cases and to the vestibulo-lingual region in 26% of cases. The mandibular teeth were responsible for diffusion to the lower genius and sublingual region (n = 61), to the cervical (n = 4) and thoracic region (n = 1). Maxillary cellulitis mainly diffused in the vestibular region (56%). The cellulitis of the posterior maxillary teeth diffused in the upper genius region, while that of the anterior maxillary teeth diffused towards the labial region and sometimes the periorbital region.
Conclusion: This study was able to show the multiple topographies of cellulitis. The mandibular molars were the most frequently involved. The circumscribed form predominated.

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