Cervico-thoracic cellulitis at the Yalgado Ouedraogo University Hospital: About 50 cases

J Stomatol Oral Maxillofac Surg. 2022 Nov;123(6):e724-e730. doi: 10.1016/j.jormas.2022.07.011. Epub 2022 Jul 16.


Introduction: Cervicofacial cellulitis is mainly due to neglected oral/pharyngeal diseases. Untreated or incorrectly treated, they can be complicated by thoraco-cervical necrosis, which has a gloomy prognosis and is difficult to manage, especially in an under-medicalized environment. The aim of this work was to report the difficulties of management in precarious context by underlining the interest of primary prevention.

Patients and method: This was a descriptive cross-sectional retrospective study from January 2018 to March.

Results: Fifty cases of thoracic-cervical necrosis were collected during this period. The man/woman sex ratio was 3.55. Dental etiology was found in 96% of cases. The main complications were: pneumopathy (n = 10), mediastinitis (n = 10), pleurisy (n = 3) and polyseritis (n = 2). The management combined medical and surgical treatment under local or general anesthesia. The mortality rate was 12.8%. The functional results were satisfactory in surviving cases.

Conclusion: The management of thoracic-cervical necrosis remains a challenge in precarious conditions. Primary must play a major role in these conditions.

Keywords: Cellulitis; Mediastinitis; Pneumopathy; Prevention; Thoraco-cervical necrosis.

MeSH terms

  • Cellulitis* / diagnosis
  • Cellulitis* / epidemiology
  • Cellulitis* / therapy
  • Cross-Sectional Studies
  • Female
  • Hospitals, University
  • Humans
  • Necrosis / complications
  • Retrospective Studies