title: [Necrotizing cervico-facial cellulitis of dental origin in a developing country].
abstract: BACKGROUND
  Necrotizing cellulitis of dental origin is a serious disease and requires prompt and effective management to avoid adverse outcomes. The purpose of this work is to describe the diagnostic and therapeutic difficulties encountered in this condition.
  
  
  METHODS
  This was a prospective study in the thoracic surgery department of Mali Hospital from January 2011 to February 2015. We collected consecutively 19 cases of complicating cervico-facial cellulitis of dental origin. The anatomical and clinical aspects, therapeutic modalities and difficulties are described.
  
  
  RESULTS
  Dental pain and fever were the predominant symptoms followed by cervical edema. Chest CT-scan was the basis for the diagnosis in all cases. Cervicotomy with debridement was the most performed surgical procedure. Pleural drainage was performed in 6 cases. Three patients (15.8%) died.
  
  
  CONCLUSIONS
  Necrotizing cellulitis of dental origin is a serious disease with high morbidity and mortality. The key radiological examination is the thoracic CT-scan. Early medico-surgical management by emergency care, tailored antibiotic therapy, removal of necrotizing tissues and drainage of collections are required to deliver a good outcome.
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali. Electronic address: drseydoutg@yahoo.fr.
authors.forename: S
authors.initials: S
authors.lastname: Togo
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: M A
authors.initials: MA
authors.lastname: Ouattara
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: J
authors.initials: J
authors.lastname: Saye
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: I
authors.initials: I
authors.lastname: Sangaré
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: M
authors.initials: M
authors.lastname: Touré
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: I
authors.initials: I
authors.lastname: Maiga
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: D J
authors.initials: DJ
authors.lastname: Dakouo
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: L
authors.initials: L
authors.lastname: Xing
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: L
authors.initials: L
authors.lastname: Guo
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: A J
authors.initials: AJ
authors.lastname: Zhou
authors.affiliation: Service de chirurgie A, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: S
authors.initials: S
authors.lastname: Koumaré
authors.affiliation: Service de chirurgie A, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: A K
authors.initials: AK
authors.lastname: Koita
authors.affiliation: Service de chirurgie A, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: Z Z
authors.initials: ZZ
authors.lastname: Sanogo
authors.affiliation: Service de chirurgie thoracique, centre hospitalo-universitaire du Point G, Bamako, Mali.
authors.forename: S
authors.initials: S
authors.lastname: Yéna
mesh_terms: D000328:Adult; D002481:Cellulitis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology; D003906:Developing Countries / Q000706:statistics & numerical data; D004322:Drainage; D005145:Face / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D009333:Neck / Q000473:pathology*; D009336:Necrosis / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012189:Retrospective Studies; D016038:Skin Transplantation; D009057:Stomatognathic Diseases / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D055815:Young Adult
keywords: Antibiothérapie; Antibiotic therapy; Cellulite; Cellulitis; Cervicotomie; Cervicotomy; Dental care; Dentisterie