COMPLICATIONS IN ADVANCED ODONTOGENIC SPACE INFECTION A NARRATIVE REVIEW

Dr. Sayan Mandal (M.D.S)**, Dr. Subhransu Basu (M.D., Dr. Rajarshi Banerjee(M.D.S, MOMS RCPS)

ABSTRACT

S evere odontogenic infections are routinely treated with little associated morbidity and mortality. Improvements in
surgical techniques, antibiotic treatments, and imaging modalities have made associated complications exceedingly
rare. A number of complications have been described in the literature including airway obstruction, descending
necrotizing mediastinitis, orbital abscess, septic cavernous sinus thrombosis, cerebral abscess, s epsis, necrotizing
fasciitis, and Lemierre’s syndrome. The purpose of this article is to discuss the pathophysiology of severe
odontogenic infections and the risk factors associated with the development of complications. Given the morbidity
and mortality o f these conditions, it is important to review the clinical features of each and the diagnostic tools that
aid in early recognition.

Keywords: Cavernous sinus thrombosis, fascial spaces, mediastinitis, odontogenic infections.