BREAST DIFFUSION OF PERIMAXILLARY CELLULITIS OF DENTAL ORIGIN IN THE FEMALE POPULATION AT THE HOSPITAL AND UNIVERSITY CENTER OF BOUAKE (IVORY COAST)

BERETE, PORNAN ISSA JULES; ZEGBEH-NGUESSAN, ERIC KOUASSI; MARTIAL, DJEMI ERNEST; ANGE LEOPOLD, YAO; DIANE, AMENOU AFFOUE; ALEXANDRE, ORY OPKOU

doi:10.21608/omx.2025.348349.1271

BREAST DIFFUSION OF PERIMAXILLARY CELLULITIS OF DENTAL ORIGIN IN THE FEMALE POPULATION AT THE HOSPITAL AND UNIVERSITY CENTER OF BOUAKE (IVORY COAST)

Document Type : Original Article

Authors

Department of odonto-stomatology and Maxillofacial Surgery Department of Bouaké’s Hospital and University Center (Ivory coast)

10.21608/omx.2025.348349.1271

Abstract

ABSTRACT
Introduction
Breast spread of perimaxillary cellulitis of dental origin is a rare but serious complication. It involves the vital prognosis and the prognosis of the mammary organ. The objective of this study was to study the clinical, therapeutic and evolutionary aspects
Material and Methods

This was a retrospective study with a descriptive aim carried out in the Odontostomatology and Maxillofacial Surgery department of the Bouaké Hospital and University Center over a period of 04 years (January 2019 – December 2022). Patients admitted for perimaxillary cellulitis dental origin diffused secondarily to the mammary region, were included in our study.

Results
13 cases collected, representing a frequency of 1.66% among all cervico-facial cellulitis of dental origin. The average age was 25.8 years. Traditional therapy was the most noted antecedent (69% or n=9). The average consultation time was 3.6 days. The left genital region was involved in 5 cases (39%) among the initial locations of this cellulitis. Clinically, skin necrosis was found in 7 cases (54%). Therapeutically, necrosectomy was performed in 6 patients (46%) and mastectomy in 1 case (8%). The clinical outcome was satisfactory in 8 patients after thin skin grafting (62%). 3 cases of after-effects were noted (2 breast retraction and 1 cervical retraction).

Conclusion
Perimaxillary cellulitis of dental origin and spread to the breast seems to be the prerogative of women during periods of genital activity. Surgical treatment is most often mutilating, leading to numerous after-effects. It requires special psychological support.

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