Current concepts in the management of maxillofacial infections:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2003
|
| Schriftenreihe: | Oral and maxillofacial surgery clinics of North America
15,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII, 165 S. Ill. |
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| 245 | 1 | 0 | |a Current concepts in the management of maxillofacial infections |c Daniel M. Laskin ..., guest eds. |
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| 490 | 1 | |a Oral and maxillofacial surgery clinics of North America |v 15,1 | |
| 650 | 4 | |a Actinomycosis, Cervicofacial | |
| 650 | 4 | |a Candidiasis | |
| 650 | 4 | |a Communicable Diseases | |
| 650 | 4 | |a Fasciitis, Necrotizing | |
| 650 | 4 | |a Osteomyelitis | |
| 650 | 4 | |a Otorhinolaryngologic Diseases | |
| 650 | 4 | |a Stomatitis, Aphthous | |
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Datensatz im Suchindex
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| adam_text | CL KKLNI CONCEPTS IN IHE MANAGEMENT OF MAXILLOFACIAL INFECTIONS
CONTENTS
Preface xi
Daniel M. Laskin and Robert A. Strauss
The Changing Microbiology of Maxillofacial Infections 1
Richard H. Haug
This article reviews the past and present oral and maxillofacial literature, with a focus on
identifying any changes that may have occurred over the past decades in infections of the
maxillofacial region. It attempts to answer whether there actually have been any changes in
the microbiology of maxillofacial infections and, if so, what those changes, patterns, and
trends might be.
Antibiotic Selection in Head and Neck Infections 17
Thomas R. Flynn and Leslie R. Halpern
The selection of an appropriate antibiotic for head and neck infections requires the integra¬
tion of many factors related both to the host and to the pharmacology of the antibiotic itself.
Antimicrobial resistance among head and neck pathogens is an increasing problem that is
beginning to affect clinical decisions even in odontogenic infections. Understanding the
molecular basis of this trend may aid the clinician in understanding why certain antibiotics
are becoming less effective in infections. After reviewing all of these considerations in
antibiotic selection, recommendations for the empiric antibiotic therapy of various head and
neck infections can be made.
Diagnostic Imaging of Maxillofacial Infections 39
Thomas E. Underhill, Fred J. Laine, and John George
Computed tomography (CT) and magnetic resonance imaging (MR1) are quick and accu¬
rate methods for the evaluation of complex head and neck infections. CT has supplanted
sialography for the evaluation of inflammatory processes in the salivary glands. In the
search for a drainable abscess collection, MRI is superior to CT in regard to lesion
conspicuity and determining the number of anatomic spaces involved and the degree of
extension and the source. MRI is also superior to CT for detection of intracranial extension
of infection. CT is superior to MRI in the detection of intralesional gas, calcifications, and
cortical destruction.
VOLUME 15 • NUMBER 1 • FEBRUARY 2003 v
Diagnosis and Treatment of Cervicofadal Actinomycosis 51
Morton H. Goldberg
Actinomycosis is an uncommon and frequently misdiagnosed infection of the cervico¬
fadal region that may be acute or indolent. The term actinomycosis derives from the
Greek aktino (ray) and mykos (fungus). Historically, Langenback may have been the first
to describe the disease in humans (1848), although it had been considered to be a sarcoma
in cattle 20 years earlier by Leblanc. Bollinger (1870) coined the term lumpy jaw in its
bovine form, whereas Harz (1877) described the appearance of a ray like microorgan¬
ism, which he named Actinomycoses bovis. In 1878, Israel and Ponfick observed and
described sulfur granules in human disease, and in 1891, Israel and Wolf isolated the
anaerobic filamentous organism from humans. In 1898, the organism found in humans
was named Actinomycoses israelii, and by the 1940s further research had confirmed that
whereas A. bovis was responsible for lumpy jaw in cattle, A. israelii was the etiologic
agent of human disease.
Diagnosis and Treatment of Necrotizing Fasciitis in the Head and Neck Region 59
Mark McGurk
A rare event encountered in current medical practice is necrotizing fasciitis. Its presence
is occasionally brought to public attention by the press through headlines such as
Killer or Flesh Eating Bug, when the impression is conveyed of the advent of a newly
discovered disease. Nothing could be further from the truth because the condition was
well known to the military surgeons of past centuries. In his book Lectures on
Inflammation, J. Thomson, the Regius Professor of Military Surgery at Edinburgh,
attributed the first description of the disease to L. Gillespie, who was a surgeon in
the Royal Navy. The condition was known to Amboise Pare and can be found in the
writings of most army surgeons who kept careful records of their experiences.
Knowledge of the disease can be traced back to Hippocrates, who gave a classic descrip¬
tion of the disease process.
Diagnosis and Treatment of Diffuse Sclerosing Osteomyelitis of the Jaws 69
Marjut Montonen and Christian Lindqvist
Diffuse sclerosing osteomyelitis of the jaws is an inflammatory condition that is a conse¬
quence of vascular changes and nonspecific bacterial infection in which bone deposition
rather than bone resorption occurs. Diagnosis is based on clinical and radiologic findings
and histopathologic findings relating to bone specimens. Histopathologic findings in the
maxilla and in the mandible are similar, but the symptoms—which are characterized by
intermittent pain resistant to almost all treatment—and specific radiological changes
relate almost exclusively to the mandible.
Diagnosis and Treatment of Viral Infections 79
Sol Silverman, Jr and Craig S. Miller
Viral infections are important to dental professionals because of transmission possibili¬
ties, the oral and systemic signs and symptoms they produce, and the need for infection
control. The biology, diagnosis, and management of human herpes family viruses,
human papillomaviruses, enteroviruses, HIV, and the hepatitis C virus are discussed in
this article.
vi CONTENTS
Diagnosis and Treatment of Oropharyngeal Candidiasis 91
Joel B. Epstein
Increased prevalence of risk factors for oral fungal infection and medications that affect
the oral environment have resulted in increased oropharyngeal candidiasis. Candidiasis
may complicate solid organ and hematopoietic cell transplantation and people with HIV
infection. Management of candidiasis is best directed at risk factors whenever possible.
Treatment of uncomplicated oropharyngeal candidiasis in the immunocompetent patient
involves selecting the best formulation of a topical medication based on oral conditions,
contact time of the drug, taste, texture, and cost of the medication. Treatment of severe
oropharyngeal candidiasis is often more difficult, and relapses are common and there is
a risk of systemic infection. Treatment of these cases may require topical and systemic
therapy. Reports of resistance to systemic agents are increasing.
Management of Head and Neck Infections in the Immunocompromised Patient 103
Newton C. Gordon and Stephen Connelly
The term immunocompromised has traditionally been used to describe patients with a seri¬
ous impairment of one or more aspects of their immune defense mechanisms. These
patients are more susceptible than immunocompetent hosts to the establishment of bac¬
terial and nonbacterial infections. The most common conditions leading to an immuno¬
compromised state can be divided into four categories: systemic conditions, congenital
defects or primary immunodeficiencies, iatrogenic causes, and social factors. This article
reviews three of the most common causes of immunosuppression in the oral surgery
patient: diabetes mellitus, alcoholism/substance abuse, and HIV/AIDS, with emphasis
on their impact on head and neck infections. Management of these infections requires
accurate diagnosis, aggressive incision and drainage, proper antimicrobial therapy, and
improved nutritional status to achieve resolution.
Diagnosis and Treatment of Recurrent Aphthous Stomatitis HI
Ellen Eisenberg
A specific cause for recurrent aphthous stomatitis has yet to be identified, which has
served to perpetuate confusion about the fundamental nature of this common oral ulcer
ative condition. Although it is frequently confused with herpes simplex outbreaks and
considered an infection, scientific research has disclosed little, if any, evidence to support
the theory that recurrent aphthous stomatitis is an infectious disease. Instead, it seems to
be an irnmunologically mediated condition whose pathogenesis is centered in local
immune dysregulation. Current clinical approaches to the management of recurrent aph¬
thous stomatitis involve modulation of immune responses to address active outbreaks
and prevent recurrences. There does not seem to be any rational basis for treating recur¬
rent aphthous stomatitis as an infectious disease.
The Surgical Treatment of Periodontal Infections 123
Norman Trieger
Identification of the specific pathogenic microorganisms responsible for periodontal
destruction has led to newer treatment methods. The basis for this approach has been the
application of well established surgical principles of infection management: the identifica¬
tion of the responsible pathogens; mechanical debridement of the infected sites to decrease
the bacterial load as well as products of the inflammatory immune response; and the intro¬
duction of systemic antibiotics known to be effective against the offending bacteria.
CONTENTS vii
Management of Peri implantitis 129
R. Gilbert Triplet:, J. Adam Andrews, and William W. Hallmon
Failure of osseointegrated dental implants is a frustrating problem for the patient and den¬
tist. Peri implantitis and occlusal overload are the most common causes of implant failure
after osseointegration and often require removal of the involved implant. A single failed
implant can result in complete prosthetic failure when load sharing mechanics of the pros¬
thesis depend on the health and integrity of each individual implant. Accurate diagnosis
and appropriate intervention are essential if implant salvage techniques are going to be
successful in preventing implant failure. This article focuses on the methods available for
diagnosis and treatment of peri implantitis that involve various implant systems.
Management of Posttraumatic Soft Tissue Infections 139
A. Omar Abubaker
With improvements in surgical techniques and the availability of effective systemic
antibiotics, the incidence of posttraumatic soft tissue wound infections is relatively low.
When such infections occur, however, they can result in significant morbidity. These
complications can be reduced by prompt initial management of the wound and proper
treatment if infection occurs. This article reviews the principles of prevention and man¬
agement of these infections, with emphasis on injuries to soft tissue of the head and neck.
Management of Infections Associated with Laser assisted Cosmetic
Skin Resurfacing 147
Robert A. Strauss
Cosmetic skin resurfacing is currently a procedure commonly performed by oral and
maxillofadal surgeons. Although the incidence of postoperative infection is low, when
it does occur the results can be disfiguring and devastating. This article presents a review
of the bacterial, viral, and fungal infections seen with skin resurfacing and their diagno¬
sis, management, and prevention.
The Use of Prophylactic Antibiotics for the Prevention of Postoperative Infections 155
Daniel M. Laskin
Despite use of the best surgical techniques, some operations still carry a high risk of
wound infection. Basic and clinical studies have shown that this risk can be reduced by
the administration of prophylactic antibiotics. There are certain inherent risks associated
with the use of these agents, however, such as toxic and allergic reactions, emergence
of resistant bacteria, drug interactions, and superinfections. Moreover, prophylactic
antibiotics do not prevent all postoperative infections. For these reasons, their use
should be based on an understanding of certain basic principles. This article reviews
these principles and discusses their application in specific clinical situations.
Index 161
vlii CONTENTS
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| spelling | Current concepts in the management of maxillofacial infections Daniel M. Laskin ..., guest eds. Philadelphia [u.a.] Saunders 2003 XII, 165 S. Ill. txt rdacontent n rdamedia nc rdacarrier Oral and maxillofacial surgery clinics of North America 15,1 Actinomycosis, Cervicofacial Candidiasis Communicable Diseases Fasciitis, Necrotizing Osteomyelitis Otorhinolaryngologic Diseases Stomatitis, Aphthous Infektion (DE-588)4161650-9 gnd rswk-swf Kauapparat (DE-588)4114161-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Kauapparat (DE-588)4114161-1 s Infektion (DE-588)4161650-9 s DE-604 Laskin, Daniel M. 1924- Sonstige (DE-588)138288763 oth Oral and maxillofacial surgery clinics of North America 15,1 (DE-604)BV002758944 15,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010255419&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Current concepts in the management of maxillofacial infections Oral and maxillofacial surgery clinics of North America Actinomycosis, Cervicofacial Candidiasis Communicable Diseases Fasciitis, Necrotizing Osteomyelitis Otorhinolaryngologic Diseases Stomatitis, Aphthous Infektion (DE-588)4161650-9 gnd Kauapparat (DE-588)4114161-1 gnd |
| subject_GND | (DE-588)4161650-9 (DE-588)4114161-1 (DE-588)4143413-4 |
| title | Current concepts in the management of maxillofacial infections |
| title_auth | Current concepts in the management of maxillofacial infections |
| title_exact_search | Current concepts in the management of maxillofacial infections |
| title_full | Current concepts in the management of maxillofacial infections Daniel M. Laskin ..., guest eds. |
| title_fullStr | Current concepts in the management of maxillofacial infections Daniel M. Laskin ..., guest eds. |
| title_full_unstemmed | Current concepts in the management of maxillofacial infections Daniel M. Laskin ..., guest eds. |
| title_short | Current concepts in the management of maxillofacial infections |
| title_sort | current concepts in the management of maxillofacial infections |
| topic | Actinomycosis, Cervicofacial Candidiasis Communicable Diseases Fasciitis, Necrotizing Osteomyelitis Otorhinolaryngologic Diseases Stomatitis, Aphthous Infektion (DE-588)4161650-9 gnd Kauapparat (DE-588)4114161-1 gnd |
| topic_facet | Actinomycosis, Cervicofacial Candidiasis Communicable Diseases Fasciitis, Necrotizing Osteomyelitis Otorhinolaryngologic Diseases Stomatitis, Aphthous Infektion Kauapparat Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010255419&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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