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Review Article
Cavernous sinus thrombosis of odontogenic origin
Nilton Alves1, Naira Figueiredo Deana2
1
CIMA Research Group, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile; 2Private Physical Thera-
pist, Temuco, Chile
Received October 27, 2015; Accepted March 5, 2016; Epub March 15, 2016; Published March 30, 2016
Abstract: The aim of this study was to review the literature regarding septic cavernous sinus thrombosis of odonto-
genic origin. Searches were made of the electronic databases and reference lists of the pertinent articles between
criteria. The literature review showed that the odontogenic focus occurs most frequently from a dental abscess and
is related mainly to the third molar followed by the second molar. Dissemination of the infection was observed for
the buccal, pterygomandibular, infratemporal and parapharyngeal spaces. Swelling was the most frequent symp-
tom and pseudomonas aeruginosa was the most common infectious agent. Drug treatment has generally been
administered using combinations, with vancomycin being the most frequently used. In surgical treatment, patients
underwent abscess drainage and dental extraction. It was observed that fewer than 50% of the patients had fully
recovered prior to hospital discharge. Considering that odontogenic infections can act as primary sources, dentists
are among the professionals responsible not only for diagnosis, but also for prophylaxis and referral for specialized
medical treatment.
Frequency of symptoms
[39]. Occlusion of the central retinal artery or Address correspondence to: Dr. Nilton Alves, CIMA
injuries to the cornea can cause blindness [38, Research Group, Faculty of Dentistry, Universidad
40]. According to Karlin and Robinson [38], de La Frontera, Francisco Salazar Avenue, 1145,
around 50% of the patients who survive septic Casilla 54-D, Temuco, Chile. Tel: 056-0452325775;
CST present sequelae, mainly residual lesions E-mail: niltonnalves@yahoo.com.br
-
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