Poster électronique

Apport de la tomodensitométrie dans les cellulites cervico-faciales : à propos de 35 cas
L. Derouich, N. El Benna, N. Moussali, A. Gharbi, A. Abdelouafi - Casablanca - Maroc
Congrès 2011
Résumé
Objectifs
La cellulite cervico-faciale est une urgence diagnostique et thérapeutique. La TDM permet de faire le diagnostic positif, d'évaluer la gravité et de suivre l'évolution sous traitement.
Matériels et méthodes
Etude rétrospective de 35 cas de cellulite cervico-faciale colligés entre 2005 et 2011. Tous les patients ont bénéficié d'une TDM cervico-faciale explorant le médiastin supérieur, après injection de produit de contraste.
Résultats
Notre série comprend 35 patients âgés de 8 à 70 ans avec prédominance de sexe masculin. L'étiologie dentaire a été retrouvée dans 18 cas, suivie de l'étiologie amygdalienne dans 9 cas puis cutanée, un cas était secondaire à une brèche de l'œsophage cervical suite à l'ingestion d'un corps étranger. La TDM a objectivé une collection abcédée dans 11 cas et la présence de gaz dans les parties molles dans 10 cas.
Conclusion
La cellulite cervico-faciale est une infection grave rapidement évolutive qui peut mettre en jeu le pronostic vital. La TDM a un rôle important dans la conduite thérapeutique et la surveillance postthérapeutique.
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2017-08-31 18.14 :
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