Risk factors of the treatment outcomes for multispace infections of the oral,maxillofacial,and cervical regions of odontogenic origin
Objective To retrospectively analyze the clinical data from patients with odontogenic maxillofacial and cervical multi-space infections,to identify key risk factors affecting the treatment outcomes of such infections,and to provide theoretical support for the early assessment of the condition,the formulation of intervention treatment strategies,and the prediction of hospi-tal stay duration in clinical practice.Methods The study covered general data (age,gender),CT findings (names and number of infected spaces),laboratory tests,duration of illness before visit,pre-admission intravenous treatment,and presence of diabe-tes.Results Thirty-eight patients had a hospital stay exceeding15 days in68.42% of cases. The submandibular space was the most frequently involved,and the length of hospital stay could be predicted by In (hospital days)=2. 117+0. 02 (number of in-fected spaces)+0. 409 × (number of cervical spaces)+0. 48 × (number of sublingual space infections)+0. 074 × (number of submental space infections)+0. 013 × (first white blood cell count × 109/L)+1 × (percentage of band neutrophils)-0. 316 × (number of pterygomandibular space infections)-0. 318 × (number of buccal space infections)-0. 236 × (number of submental space infections).Conclusion Age,white blood cell count,percentage of neutrophils,number of infected spaces,and involve-ment of the submandibular,pterygomandibular,buccal,cervical,sublingual,and submental spaces are risk factors. Infections involving the submandibular,pterygomandibular,and buccal spaces have a lesser impact on extending hospital stay compared to the submental,cervical,and parapharyngeal spaces.
oralmaxillofacial and neckmulti-space infectionhospitalization durationinfluencing factor