АНАЛІЗ СУЧАСНИХ ПРИНЦИПІВ ДІАГНОСТИКИ ТА ЛІКУВАННЯ ОДОНТОГЕННИХ ФЛЕГМОН ЩЕЛЕПНО-ЛИЦЕВОЇ ДІЛЯНКИ

Authors:

Abstract:

Odontogenic phlegmons of the maxillofacial region remain a significant issue in modern clinical medicine due to the increasing incidence and the high risk of complications. Despite advances in diagnostic and treatment methods, these pathological conditions may progress rapidly and lead to severe outcomes, which highlights the need for continuous analysis of current approaches to their management. The purpose of this study was to summarise and analyse data from the current literature on the diagnosis and treatment of odontogenic phlegmons of the maxillofacial region, taking into account the pathogenetic mechanisms of purulent inflammatory processes. The study was conducted as an analytical review of scientific publications indexed in the PubMed databases for the period from 2021 to 2026. Clinical studies, systematic reviews and meta-analyses addressing aetiology, pathogenesis, clinical course and modern treatment approaches were included in the analysis. Infectious factors, particularly Gram-positive bacteria, were found to play a leading role in the development of odontogenic phlegmons, alongside comorbidities and individual patient characteristics, including immune response. The importance of early diagnosis using laboratory and instrumental methods, as well as comprehensive treatment combining surgical intervention and rational antibiotic therapy, was demonstrated. Particular attention was paid to the risk of complications such as orbital phlegmon, mediastinitis, sepsis and Ludwig’s angina, as well as to the specific features of disease progression in patients with comorbid conditions and in pregnant women. Effective treatment of odontogenic phlegmons of the maxillofacial region is possible with timely diagnosis, a comprehensive therapeutic approach, and individualised treatment strategies based on the patient’s general condition.

Keywords:

odontogenic phlegmon maxillofacial region purulent inflammatory processes inflammation diagnostic treatment complication

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Publication:

«World of Medicine and Biology» Vol. 22 No. 96 (2026) , с. 256-263
УДК 617.51/53-002.36-02:616.314]:616-07/-08

DOI:

https://doi.org/10.26724/2079-8334-2026-2-96-256-263