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口腔颌面部间隙感染诊疗专家共识
引用本文:李云鹏,石冰,张浚睿,刘彦普,沈国芳,郭传瑸,杨驰,李祖兵,张志光,王慧明,卢利,胡开进,季平,许彪,张伟,刘静明,龚忠诚,任战平,田磊,袁华,张惠,马婕,孔亮. 口腔颌面部间隙感染诊疗专家共识[J]. 中华口腔医学杂志, 2021, 0(2): 136-144
作者姓名:李云鹏  石冰  张浚睿  刘彦普  沈国芳  郭传瑸  杨驰  李祖兵  张志光  王慧明  卢利  胡开进  季平  许彪  张伟  刘静明  龚忠诚  任战平  田磊  袁华  张惠  马婕  孔亮
作者单位:第四军医大学口腔医学院口腔颌面外科军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔疾病临床医学研究中心;四川大学华西口腔医院唇腭裂外科口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心;上海健康医学院;北京大学口腔医学院?口腔医院口腔颌面外科国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室;上海交通大学医学院附属第九人民医院口腔颌面外科上海市口腔医学重点实验室上海市口腔医学研究所国家口腔疾病临床研究中心;武汉大学口腔医院口腔颌面创伤与整形美容外科;中山大学光华口腔医学院?附属口腔医院口腔颌面外科?广东省口腔医学重点实验室;浙江大学医学院附属口腔医院种植科?浙江大学口腔医学院浙江省口腔生物医学研究重点实验室;中国医科大学口腔医学院口腔颌面外科?辽宁省口腔医学研究所;重庆医科大学附属口腔医院种植科口腔疾病与生物医学重庆市重点实验室重庆市高校市级口腔生物医学工程重点实验室;昆明医科大学附属口腔医院口腔颌面外科;首都医科大学口腔医学院口腔颌面外科;新疆医科大学第一附属医院口腔颌面肿瘤外科;西安交通大学口腔医院口腔颌面外科;第四军医大学西京医院康复医学科;第四军医大学口腔医学院麻醉科军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔生物工程技术研究中心
摘    要:口腔颌面部间隙感染(oral and maxillofacial space infections,OMSI)是颌面部潜在筋膜间隙的感染,是口腔颌面部的常见疾病。OMSI病例具有耐药菌感染增多、重症感染增多、致死风险增加等特点。为提高OMSI的治愈率,其治疗原则与方法需与时俱进。因此,依据国内部分专家当前诊治OMSI的...

关 键 词:感染  口腔颌面部间隙  诊疗技术  专家共识

Expert consensus on the treatment of oral and maxillofacial space infections
Li Yunpeng,Shi Bing,Zhang Junrui,Liu Yanpu,Shen Guofang,Guo Chuanbin,Yang Chi,Li Zubing,Zhang Zhiguang,Wang Huim ing,Lu Li,Hu Kaijin,Ji Ping,Xu Biao,Zhang Wei,Liu Jingming,Gong Zhongcheng,Ren Zhanping,Tian Lei,Yuan Hua,Zhang Hui,Ma Jie,Kong Liang. Expert consensus on the treatment of oral and maxillofacial space infections[J]. Chinese journal of stomatology, 2021, 0(2): 136-144
Authors:Li Yunpeng  Shi Bing  Zhang Junrui  Liu Yanpu  Shen Guofang  Guo Chuanbin  Yang Chi  Li Zubing  Zhang Zhiguang  Wang Huim ing  Lu Li  Hu Kaijin  Ji Ping  Xu Biao  Zhang Wei  Liu Jingming  Gong Zhongcheng  Ren Zhanping  Tian Lei  Yuan Hua  Zhang Hui  Ma Jie  Kong Liang
Affiliation:(Department of Oral and Maxillofacial Surgery,School of Stomatology,The Fourth Military Medical University&State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Clinical Research Center for Oral Diseases,Xi'an 710032,China;Department of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University&State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases,Chengdu 610041,China;Shanghai University of Medicine&Health Sciences,Shanghai 200120,China;Department of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China;Department of Oral and Maxillofacial Surgery,Ninth Peopled Hospital,Shanghai Jiao Tong University School of Medicine&Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology&National Clinical Research Center of Stomatology,Shanghai 200011,China;Department of Oral and Maxillofacial Trauma and Plastic Surgery,School of Stomatology,Wuhan University,Wuhan 430079,China;Department of Oral and Maxillofacial Surgery,Guanghua School of Stomatology,Hospital of Stomatology,Sun Yat-sen University&Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055,China;Department of Oral Implantology,The Affiliated Hospital of Stomatology,School of Stomatology,Zhejiang University School of Medicine,and Key Laboratory of Oral Biomedical Research of Zhejiang Province,Hangzhou 310006,China;Department of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,China Medical University,Liaoning Provincial Key Laboratory of Oral Diseases,Shenyang 110002,China;Department of Oral Implantology,Stomatological Hospital of Chongqing Medical University&Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences&Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education,Chongqing 401147,China;Department of Oral and Maxillofacial Surgery,The Affiliated Stomatological Hospital of Kunming Medical University,Kunming 650000,China;Department of Oral and Maxillofacial Surgery,Capital Medical University School of Stomatology,Beijing 100050,China;Oncological Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Department of Oral and Maxillofacial Surgery,College of Stomatology,Xi'an Jiaotong University,Xi'an 710004,China;Department of Rehabilitation Medicine,Xijing Hospital,The Fourth Military Medical University,Xi'an 710032,China;Department of Anethesiology,School of Stomatology,The Fourth Military Medical University&State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture,Xi'an 710032,China)
Abstract:Oral and maxillofacial space infections(OMSI)are common diseases of the facial region involving fascial spaces.Recently,OMSI shows trends of multi drug-resistance,severe symptoms,and increased mortality.OMSI treatment principles need to be updated to improve the cure rate.Based on the clinical experiences of Chinese experts and with the incorporation of international counterparts′expertise,the principles of preoperative checklist,interpretation of examination results,empirical medication principles,surgical treatment principles,postoperative drainage principles,prevention strategies of wisdom teeth pericoronitis-related OMSI,blood glucose management,physiotherapy principles,Ludwig′s angina treatment and perioperative care were systematically summarized and an expert consensus on the diagnosis and treatment of OMSI was reached.The consensus aims to provide criteria for the diagnosis and treatment of OMSI in China so as to improve the level of OMSI treatment.
Keywords:Infection  Oral and maxillofacial space  Diagnosis and treatment  Expert consensus
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