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Mohamed Elarbi

AOA Neurosurgery University Hospital, Libya

Title: Maxillofacial infection in Libya

Biography

Biography: Mohamed Elarbi

Abstract

Aim: Aim: To review medical records from patients who had maxillofacial infections between january 2008 and January 2016.

Methods: Retrospective analysis of 91 patients  ,51 males(56%) and 40 females(44%) admitted in Ali Omar Askar(AOA) University hospital for Neurosurgery ,Oral &Maxillofacial surgery department, Esbea ,Tripoli Libya.

Epidemiology, causes of infection treatment carried out and complications were discussed.

Results:

 A total of 91 patients with maxillofacial infection of which 51 were male (56%) , 40 females (44%), 85 patients had Odontogenic infections (93%) , 45 males (52,9%) & 40 females (47,1%)and 6 had non-Odontogenic infections(7%). The Odontogenic infections occurred mostly at the mandible and its associated spaces 74 cases (87%)

Involving the posterior teeth (82%). The main cause was dental caries 80 cases (94%)

The most commonly affected facial anatomic region was the submandibular 39 cases (45,9%)Surgical treatment was required in all the  cases.

Conclusions: Maxillofacial infections require proper urgent treatment, to avoid complications, which can be serious. Their Management is primarily surgical (incison ,drinage with extraction  of offending tooth as required which require  skilled anaesthetic airway management. Immedate admision, monitoring vital signs  and  high doses of antibiotics ,with intravenous fluids  for rehydration  .

Early diagnosis and national oral health preventive programme required in all age groups with emphasis on younger age group will reduce the incidence of Odontogenic infections and its serious consequences.

Complications; Mediastinitis, Cavernous sinus thrombosis were reported in two cases.

Keywords: Odontogenic infection, non-Odontogenic;, epidemiology, retrospective analysis.