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Retrospective study of pediatric facial cellulitis of odontogenic origin.

Pediatric Infectious Dsease Journal, 2006


OBJECTIVES: The aims of this retrospective study were to investigate the clinical characteristics of pediatric facial cellulitis of odontogenic origin and to compare the clinical differences between upper and lower facial infections and between genders.
METHODS: Fifty-six children (28 boys and 28 girls) diagnosed with facial cellulitis of odontogenic origin during the year 2003 were selected for study.
Clinical investigations included sex, location of cellulitis, peak occurrence month, symptoms of infection, preference of first visit, hospitalization status, timing of surgical or dental interventions, need for incision and drainage, source of infection, and management of the primary odontogenic origin.
Children were divided into upper face and lower face groups depending on the location of the infection.
The chi and Student t tests were computed to assess the differences in the various study variables between upper and lower face infections and gender.
The clinical symptoms included a frequent toothache before swelling, and less commonly fever and trismus.
Hospitalization was needed in 53.6% of the patients, and the mean length of hospitalization was 5.03 +/- 3.80 days.
The majority of the patients had either surgical or dental interventions after subsidence of the swelling.
The source of infection in the upper face infections was significantly different from that of lower face infections (P < 0.01).
Other study variables were not statistically significant for upper and lower face infections (P > 0.05).