TITLE:
Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo
AUTHORS:
Yvette Marie Chantal Gyébré, Aboubacar Gouéta, Noé Zaghré, Moustapha Sérémé, Bertin Priva Ouédraogo, Kampadilemba Ouoba
KEYWORDS:
Complications, Cervicofacials Cellulitis
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.5 No.3,
May
10,
2016
ABSTRACT: 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.