A study for clinical diagnosis of pterygomandibular space infection in submandibular space infection and limited mouth opening patients at Phu Khiao Chaloem Phrakiat Hospital

Authors

  • Atinart Tummarutsoontorn โรงพยาบาลภูเขียวเฉลิมพระเกียรติ

Keywords:

infection, pterygomandibular space, limited mouth opening, diagnostic method

Abstract

     This retrospective research aims to evaluate the sensitivity and specificity of the oral examination test using mouth mirror handles pressing on both sides of the oropharynx in order to diagnose pterygomandibular space infection in patients with submandibular space infection and limited mouth opening. The sample group consisted of 40 patients presenting for treatment at Phu Khiao Chaloem Phrakiat Hospital with swelling submandibular space infection and limited mouth opening between 2012 and 2022. The data recording system was developed by the researcher. Data were analyzed using descriptive statistics, and diagnostic accuracy was characterized using sensitivity, specificity, and ROC values.

     Results: Diagnosis of pterygomandibular space infection using the mouth mirror handles pressing on both sides of the oropharynx had sensitivity of 100%, specificity of 80.95%, accuracy of 90%, PPV of 82.6% and NPV of 100%, respectively. ROC had a sensitivity of 100%, specificity of 100%, and Area under Curve = 0.905 (95%CI 0.80-1.00, p < .001).

 

References

พิมวิชญา ซื่อทรงธรรม, สุพจน์ เจริญสมบัติอมร, จิระพงษ์ อังคะรา. การอักเสบติดเชื้อของลำคอชั้นลึกในคณะแพทยศาสตร์วชิรพยาบาล มหาวิทยาลัยนวมินทราธิราช. วชิรเวชสารและวารสารเวชศาสตร์เขตเมือง. 2564; 62(5):365-74.

พัชรี กัมพลานนท์, สุรชัย อภินวถาวรกุล และ จริญดา ไทยแสงสง่า. ปัจจัยซึ่งมีผลต่อการวินิจฉัยทางคลินิกของการติดเชื้อในช่องพังผืดเทอริโกแมนดิบูลาร์ในผู้ป่วยติดเชื้อจากฟันซึ่งมีอาการกลืนลำบาก. ศัลย์ช่องปาก-แม็กซิลโลเฟเชียล. 2547; 18: 17-24.

Abshirini H, Alavi SM, Rekabi H, Hosseinnejad F, Ghazinpour A, Shabab M. Predisposing factors for the complications of deep neck infections. Iran J Otorhinolaryngol. 2010; 22: 97-102

A Bridgeman , D Wiesenfeld, A Hellyar, W Sheldon. Major maxillofacial infections. An evaluation of 107 cases. Aust Dent J. 1995; 40(5): 281-8.

Goldberg MH, Topazian RG. Odontogenic Infections and Deep Fascial Space Infections of Dental Origin. Management of Infections of the Oral and Maxillofacial Regions, Topazian RG, Goldberg MH (eds). Philadelphia, WB Saunders;1981: 173.

Har-El G, Aroesty JH, Shaha A, Lucente FF. Changing trends in deep neck abscess. A Retrospective study of 110 patients. Oral Surg Oral Med Oral Patho1994;77:446-50.

Heikkinen J, Jokihaka V, Nurminen J, Jussila V, Velhonoja J, Irjala H, Soukka T, Happonen T, Jarnstedt J, Nyman M, Mattila K, Hirvonen J. MRI of odontogenic maxillofacial infections: diagnostic accuracy and reliability.Oral Radiol. 2023; 39(2): 364-371.

K Yonetsu 1, M Izumi, T Nakamura. Deep facial infections of odontogenic origin: CT assessment of pathways of space involvement. AJNR Am J Neuroradiol. 1998 ;19(1):123-8.

Odell P. Infections of the fascial spaces of the neck. J Otolaryngol 1990,19:201-5

Rega AJ, Aziz SR, Ziccardi VB. Microbiology and Antibiotic Sensitivities of Head and Neck Space Infections of Odontogenic Origin. J Oral Maxillofac Surg. 2006; 64:1377-81

Roscoe DL, Hoang L. Microbiologic investigations for head and neck infections. Infect Dis Clin N Am. 2007; 21: 283-304

Schuster GS, Burnett GW: The Microbiology of Oral and Maxillofacial Infections. Management of Infections of the Oral and Maxillofacial Regions, Topacian RG, Goldberg MH (eds), Philadelphia, WB Saunders; 1981: 39.

Storoe W, Haung RH, Ltlich TT. (2001). The changing face of odontogenic infection. J Oral Maxillofac Surg; 59:739-48.

Ullah M, Irshad M, Yaacoub A, Carter E, Thorpe A, Zoellner H, Cox S. Dental Infection Requiring Hospitalisation Is a Public Health Problem in Australia: A Systematic Review Demonstrating an Urgent Need for Published Data. Dent J. 2023; 11(4): 97.

W Yang. Deep neck infection: A review of 130 cases in South China. South China Med. 2015; 94: 89-94.

Williams BL, McCann GF, Schoenknecht FD: Bacteriology of dental abscesses of endodontic origin. J Clin Microbiol 1983; 18:770.

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Published

2023-12-31

How to Cite

Tummarutsoontorn, A. (2023). A study for clinical diagnosis of pterygomandibular space infection in submandibular space infection and limited mouth opening patients at Phu Khiao Chaloem Phrakiat Hospital. Journal of Environmental Education Medical and Health, 8(4), 1009–1014. retrieved from https://so06.tci-thaijo.org/index.php/hej/article/view/269835