Upload
pedro-aravena-torres
View
239
Download
6
Embed Size (px)
Citation preview
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
1/61
Fdlb``fodbs bd ij rbnfd Mjxfiolj`
[bero Jrjvbdj Uorrbs@FQRNFJ FF
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
2/61
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
3/61
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
4/61
fdlb``fd oeodtondf`j`ujeros fdlb``fosos bd qub ios nrmbdbs pjtnbfdnrbsjd vfj `jdjif`uijr-pbrfjpf`ji y por ijs pjrbe
rjef`uijrbs
`omo pbrf`orodjrftfs y pjrbebd`foptf`os
Erbs. Qbd Qocjs, Mfrbiij Afnnfdf Cornb Aijd`o. Fdlb``fodbs Au`o Mjxfio Lj`fjibs. Efjndstf`o y pjut
Rdfvbrsfeje eb @gfib. Lj`uitje e
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
5/61
Eblbdsjs io`jibs
Bpftbifo eb ij mu`osj fdebmdb
Liuco sjifvji dormji (JNJ sb`rbtorj) Liorj dormji Pfstbmj eb fdmudfeje eb ij mu`osj
Lj`torbs gumorjibs Fdmudonioauifdj y sfstbmj `ompibmbdto
Lj`torbs `biuijrbs Ljno`ftosfs3 [oifmorlodu`ibjrbs y Modo`ftos Ifdlo`ftosfs3 Ifdlo`ftos A y U
Lj`torbs Aj`tbrfjdos \fruibd`fj
Dmbro eb aj`tbrfjs
Lj`torbs qub ebtbrmfdjd ij fdlb``
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
6/61
Oeodtondf`j3
- \j `jdjif`uijr pbrfjpf`ji
- [jrbebs rjef`uijrbs ([brfoeodtftfs y [brf`orodjrftfs)
Do Oeodtondf`j3
- [fbi- Fdlb``fodbs postopbrjtorfjs
- Urjumj mjxfiolj`fji
- Eflusfd eb tbrrftorfos jdjtmf`os jdbxos3 sbdo mjxfijr y `jv
djsji, nideuijs sjifvjibs.
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
7/61
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
8/61
FAML3 Bpfebmfoionj
Bd pbrsodjs ebsprbo`upjejs eb su sjiue au`ji
Beje mbefj bdtrb 1;-5; jos
Biifs, eb 52 pj`fbdtbs jtbdefeos bd bi Gospftji Pjd Cueb Efos `od FAML
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
9/61
FAML3 Bpfebmfoionj
Bd ud bstuefo rbjifzjeo bd Justrjifj (Arfenbmjd y `oi, :662) bd :;
eb FAML
>
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
10/61
puipftfs
db`rosfs puipjr
rbvbrsfaibfrrbvbrsfaib sfdtomtf`jfrrbvbrsfaib jsfdtomtf`j
pbrfoeodtftfsjnuej
sbrosj supurjej
`rdf`j
sfmpib gfpbrpisf`j sup
JEJJ Nrjduiomj
Zufstb rjef`uijrJ. suapbrfstf`oOstbomfbiftfs
J. suamu`oso `biuiftfs
io`jifzjej eflusj
J. sua`utdbo
jnuej `rdf`j
JEBDFUFPOPUBO -JEBDOLIB
sb`ubstrjdtb`odebdsjdtb libnmd
JE
Ufpos eb fdlb``fodbsoeodtondf`js J
CFdlb``fodbs AML.
Efjndstf`o y pjutjs eb trjtjmfbdto.
R. @gfib 1;;>
[. jpf`ji sfdtomtf`j
[. jpf`ji jsfdtomtf`j
jas`bso jpf`ji jnueo
jas`bso
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
11/61
FDLB@@FO
DO OEODUOND
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
12/61
FDLB@@FODBP DO OEODUON
Ijs fdlb``fodbs `brvf`olj`fjibs o`upjd jproxfmjejmbdtb bdtrb 1; y 12% pj`fbdtbs jtbdefeos bd ios sbrvf`fos eb @frunj Mjxfiolj`fji. *
OEODUONDF@OP
OQFNBD
DO OEODUONDF@OP
Ijs fdlb``fodbs do oeodtondf`jsbx`iuybd bi orfnbd ebdtjrfo y sod sb`ufdlb``fodbs nijdeuijrbs, sfdusjibs, posqufrrnf`js, postrjumtf`js, `utmu`osjs, soarb fdlb``fodbs eb dbopijsmjs, qufstbs arjdqufjibs y ebrm
bdtrb otros.*
*Jas`bso y libnmd pbrfjmfnejifdo Io bstjmos gj fbdeo afbd?, Qbv. Otorrfdoijrfdnoi. @fr. @jabzj @ubiio 1;;
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
13/61
MO OEODUONBDF@OP MO DO
OEODUONBDF@OP
[brtbdb`bd j ij [A Jitj bspb`flf`feje
Do pjtnbdjs (uaf`j`fd y d) [jtnbdjs
[o`j bspb`flf`feje MO bspb`lf`os
[oifmf`roafjdjs - vf rus
- godnos
- aj`tbrfjs
FDLB@@FODBP DO OEODUOND
NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
14/61
FDLB@@FODBP AJ@UBQFJMs `omudbs bd ij mu`osj , proeu`to eb ij rupturj bd ijgombstjsfs eb ij liorj dormji, pbrmftfbdeo qub MO oport
fdlb`tbd ij `jvfeje orji3
Bstjlfio`o`o eorjeo
Bdtbro`o`o
Bstrbpto`o`os abtj gbmoitf`osJbroafos nrjd-dbnjtfvo aj`fios (B. `oif, Bif`oaj`tbr, Hibasfbiij)
Fdlb``fodbs oportudfstjs j zodjs fdmudo`omprombtfejs
(fdlb``fd sb`udejrfj j ijs i`brjs)NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
15/61
FDLB@@FOD
BP
AJ@UBQ
FJDJP
NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
16/61
FDLB@@FOD
BP
AJ@UB
QFJDJP
fdlb``fodbs puruibdtjsNRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
17/61
FDLB@@FODBP AJ@UBQFJDJP
Nijdeuijs sjifvjibs
Plfifs
Bdlbrmbeje por jrjjzo eb njto
Fdlb``fodbs por bstjlfio`o`o
eorjeo eb pfbi
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
18/61
*Pfjioiftfjsfs pjrotebj ebi odeu`to eb Ptbdsbd. 1;;7 Mbef`fdj Orji P.I.**JP[B@UOP MF@QOAFOINF@OP EB IJP FDLB@@FODBP EB IJP NIDERIJP PJIF\JIBP. J`tj oeodtoi. vbdbz voi.51 do.: @jrj`js Cjd. 1;;5
Fdlb``fd eb ijs nideuijs
Pfjiojebdftfs3Fdlijmj`fd eb ijs nideuijs s`jusj eb fdlb``fodbs aj`tbrfjvfrjibs
Lj`torbs io`jibsaioqubo eu`to bx`rbtor (iftfjsfs
fdlb``fd rbtrnrjej
Lj`torbs nbdbrjibs
fdmudoebprfmfeo
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
19/61
*Pfjioiftfjsfs pjrotebj ebi odeu`to eb Ptbdsbd. 1;;7 Mbef`fdj Orji P.I.**JP[B@UOP MF@QOAFOINF@OP EB IJP FDLB@@FODBP EB IJP NIDERIJP PJIF\JIBP. J`tj oeodtoi. vbdbz voi.51 do.: @jrj`js Cjd. 1;;5
- Oastru``fd eb eu`tos sjifvjibs
- Jumbdto eb voiumbd udf o afijtbrji e- Efsmfdu`fd ebi liuco sjifvji3 mu`oso puruibdto- Eoior jnueo- Uumblj``fd ebi rbj jlb`tjej- Urfsmus- Lfbarb
Fdlb``fd eb ijs nideuijs
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
20/61
[jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ
- jlb`tj prfd`fpjimbdtb j ij nideuij
- vfrus `omo pjrjmyxovfrus, @ftombn(@M\), Pjrjmpfd, Gbrpbs Sostbr, Fd[jrjfdliubdzj : y 0, vfrus Bpstbfd Aj\FG, bdtrb otros.
- bd dfos bdtrb < y 6 jos
- `odtjnfo j trjvbs eb sjifvj, proeromefjs
PFJIOJEBDFUFP \FQJI
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
21/61
[jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ
@IFDF@J
- Jumbdto voiumbd pjrotebo efluso,eoioroso. ebspijzjmfbdto ebi iauio gj`fj lubrj y gj`fj jrrfaj
- Lfbarb moebrjej, `ompromfso bstjnbdbrji.
- 1/0 `jsos pubeb sbr afijtbrji
- @jrd`uij pjrotebj bebmjtoso
- Pjifvj jspb`to mu`oso
PFJIOJEBDFUFP \FQJI
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
22/61
[jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ
EFJNDPUF@O
Jdjmdbsfs, Pfndos `idf`os
Bstuefo sbroinf`o3 jumbdto eb ttu
5 vb`bs fdef`j fdlb``fd jnuej
UQJUJMFBDUO
Pfdtomtf`o, gferjtj`fd, jdjinbsfjjaudejdtb y suprbsfd eb jifmbdtobstfmuibd ij sjifvj`fd. Qbposo jebmfbdtrjs bi pj`fbdtb bst eb`jeo o
PFJIOJEBDFUFP \FQJI
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
23/61
[jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ
- [j`fbdtbs `od beje jvjdzjej, ebsgfedblrljtjs, fdmudoebprfmfeos.
- [rbsbd`fj lo`o sptf`o orji, iftfjsfs, `oljrmj`os qub proeu`bd gfposfjifj.
- Bstjlfio`o`o jurbus, Bstrbpto`o`o pdPtrbpto`o`o pyonbdbs y jdjbroafos.
PFJIOJEBDFUFP AJ@UBQFJDJ
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
24/61
[jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ
@IFDF@J
- Jumbdto eb tjmjo nijdeuijr arus`o
-Brftbmj eb ij pfbi
- Lfbarb y trfsmus.
- Ji `omprfmfr ij nideuij pubeb do liuf
sjifr sjifvj puruibdtj.
- @od lrb`ubd`fj udfijtbrji.
PFJIOJEBDFUFP AJ@UBQFJDJ
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
25/61
[jtoionj eb Nideuijs Pjifvjibs, [ODUFLF@FJ RDF\BQPFEJE @JUIF@J EB @GFIB. BP@RBIJ EB MBEF@FDJ. OUOQQFDOIJQFDNOIONJ
UQJUJMFBDUO
-Jmauijtorfo `od jmoxf`fifdj/`feo `ij
-Gospftjifzj`fd. @oabrturj jdtfaftf`j (`bljiosporfdjs eb 1 nbdbrj`fd, `ifdejmpf`fifdj/suiaj`tjm)
-Mjdbco eb ij pjtoionj eb ajsb
- Rsjr sfjiononos (cuno eb ifmd o djrjmjsjcb nijdeuijr y `jior io`ji `od `om
PFJIOJEBDFUFP AJ@UBQFJDJ
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
26/61
Jspb`tos `idf`os, btfoionj mf`roafjdj y mjdbco tbrjputf`o eb ij pjrotfeftfs `rdf`j rb`urrbdtb fdljdtfi ([@QF). Qbv @gfi [befjtr >5 (0)8 1 jos.
-Qbsoiu`fd bspodtdbj bd ij puabrtj
- Efsmfdu`fd ebi liuco sjifvji sfbdeo mpuruibdto. Ji `omprfmfr ij nideuij , ijnrumosj y bspbsj.
[JQOUFEFUFP @QODF@J QB@RQQBDUB
[JQOUFEFUFP @QODF@J QB@RQQBDUB
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
27/61
EFJNDPUF@O3 Pfjionrjlj3 `frub
UQJUJMFBDUO3
Jdtfaftf`os, fdtffdlijmjtorfos, gferjtj`fd, sfjiononos y mjsjcb nijdeuijr.Ij sfjionrjlj mu`gjs vb`bs bs tbrjputf`j, sb bifmfdj ios tjpodbs mu`o
[JQOUFEFUFP @QODF@J QB@RQQBDUB
Fdlb``fodbs aj`tb
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
28/61
FDLB@@FODBP EB IJP NIDERIJP PJIF\JIBP
Jspb`tos `idf`os, btfoionj mf`roafjdj y mjdbco tbrjputf`o eb ij pjrotfeftfs `rdf`j rb`urrbdtb fdljdtfi ([@QF). Qbv @gfi [befjtr >5 (0)8 1
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
29/61
Urbpodbmj pjiifeum (bspfroqubtj jdjbroaf
Urjdsmfsfd sbxuji y do sbxuji (absos, trjdsjdnrb)
Plfifs `odndftj
Ibsfodbs prfmjrfjs3 nbdftjibs (ibdnuj, ijafo
PFL
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
30/61
Bi 7;% eb ijs io`jifzj`fodbs bs nbdftji.
Bd bi gomarb3 sur`o ajijdo prbpu`fji, nijde`ubrpo ebi pbdb.
Bd ij mucbr3 `ubiio utbrfdo,vjnfdj ijafos mj`omfsurj eb ijafos mjyorbs.
Bi 7% uaf`j`fd au`ji,
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
31/61
Plfifs : (1
@gjd`ro 3i`brj eurj, brftbmjtosj, eb lo
ifdlojebdopjtjs rbnfodjibs
`ujero eb mjibstjr nbdbrji Ibsfd fdeoiorjui`brjej, fdeurjej, roco os`uro,
Qbmfsfd bspodtdbj
Ibdnuj, ijafos, pfbi
Ji `jao eb trbs sbmjdjs ebsjpjrb`b bi `gjebcjr `f`jtrfz.
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
32/61
Plfifs 13 (
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
33/61
Plfif
Niosftfs fdtbrstf`fji eflusj.
Nomjs(ibdnujpjijejr)
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
34/61
PFLFIFP UBM[QJDJ O QB@FBDUB (9 : JO EB B\OIR@FD)
1.5;;.;;; RF [bdf`fifdj N abdzjtfdj fm. [or udj vbz.
Bd `jso eb jibrnfj 3 Brftromf`fdj 1nr/efj por :2 ejs.
PFLFIFP UJQEFJ (4: o bvoiu`fd)
[bdf`fifdj N abdzjtfdj 1.5;;.;;; RF fm.sbmjdji por trbsvb`bs ji ej.
Brftromf`fdj 1nr/ej por 0; ejs.
P
Urjtjmfb
B l e e J e
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
35/61
Bdlbrmbeje Jrjjzo eb
Bdlbrmbeje fdlb``fosj `jusjej por ij aj`tbrfj
7;% dfos
Jrjjzos, morebeurjs, o bxposf`fd j ij sjifvj
Iifdljebdopjtj Rdfijtbrji. `br`j ji sftfo ebi jrjmorebeurj.
B l e e J e
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
36/61
@IFDF@J[brfoeo fd`uaj`fd3 bdtrb > j :1 ejs
Ibsfd rocfzj bd bi sftfo eb fdo`uij`fdIfdlojebdopjtfj 1 j 0 sbmjdjs postbrfor ji `o
Jnrjdejmfbdto eb deuios eb `jebdj njdnifojxfijr, yunuijr, suamjdefauijr, prbjrf`uijr.
[puij o pstuij bd bi sftfo ibsfodjeo (fdo`uij
io nbdbrji bs ij prfmbrj sbjiFdlijmj`fd eb ios doeuios ifdltf`os (jebdopj
Lfbarb (0;%)
Ljtfnj
Mjibstjr nbdbrji
bspb`dombnjifj
Bdlbrmbeje Jrjjzo eb
Bdlbrmbeje Jrjj o eb
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
37/61
EFJNDPUF@Obxjmbd por fdmudoliuorbs`bd`fj pjrj Ajrtodbiij gbdsbijb
UQJUJMFBDUO
@ujero ibvb3 @odtroi sdtomjs. Eurj`fd sbmjdjs j 1-0 mbs
@ujero nrjvbs3 Jdtfaftf`os `jso eb3- [j`fbdtbs jnuejmbdtb bdlbrmos `od sdtomjs sfstmf
- Ifdljebdopjtj nrjdeb y eoiorosj.- [j`fbdtbs fdmudo`omprombtfeos.
Jdtfaftf`o fdef`jeo3 jzftromf`fdj3 :; mn/hn/ej x 0 ejs.
Erbdjcb deuios supurjtfvos (pud`fd y jspfrj`fd)
Bdlbrmbeje Jrjjzo eb
Fdlb``fd por Bstjlf
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
38/61
@iuijs bslrf`js, Nrjm posftfvos. Jdjbroafos
Muitfpif`j`fd biuijr b fdvjsfd tfsuijr
@jpj`feje eb proeu`fr bdzfmjs y toxfdjs
GJAFUJU3 pfbi y mu`osjs bd rbjs fdtbrtrfnmjdos, pbrfdbji, djsji ( 1;% j 5;%)
Ptbpgyio`o ``us jurbus
Mjyor pjtnbdo bd ijs fdlb``fodbs `utdbjs, joportudfstj bd ij mu`osj orji (qubfiftfs jdnuijr
Do lormjd pjrtb eb ij liorj dormji, pubsto qubpjtnbdos,
Qoi eb ij pfbi [brsodjs ms su`bptfaibs, `oiodfzj`fd gjstj
Fdlb``fd por Bstjlf
Fdlb``fodbs `utdbjs aj`tbrfjdjs. Ebrmjtoi. pbru. voi.:< do.: Ifmj Cjd./jar. 1;;<
Fdlb``fd por Bstjlf
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
39/61
L
Gferosjebdftfs s
Fdlb``fd eb gbrfejs qPbptf`bmfj, bde
pD
@oOst
[
M
Fdlb``fd por Bstjlf
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
40/61
UQJUJMFBDUOFdlb``fd por Bstjlf
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
41/61
UQJUJMFBDUO @orrb`tj gfnfbdb jdtfaftf`os3 [bdf`fifdj N
[BDF@FIFDJP FPOWJSOIF@JP3@ioxj`fifdj,Ef`ioxj`fifdj,
Liu`ioxj`fifdj @BLJIOP[OQFDJP EB [QFMBQJ NBDBQJ@FOD
Fmfpbdbd
Jmoxf`fifdj-`feo `ijvuidf`o
Jmpf`fifdj-suiaj`tjm
MJ@QOIFEJP ( Brftromf`fdj, @ijrftromf`fdj,Jzftromf`fdj)
Ifd`omf`fdj
JMFDONIF@OPFEOP (Nbdtjmf`fdj, Jmfhj`fdj)
\jd`omf`fdj
Fdlb``fd por Bstjlf
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
42/61
FDLB@@FODBP \FQ
- Ijs `jusjdtbs ms `omudbs bd ijs ui`brjs orjibs
- Ijs fdlb``fodbs vfrjibs3 fdlb``fodbs orjibs io`jifzjejs y ui`brjtfv
- \frus3 roi sfndflf`jdtb bd ijs ibsfodbs pbrfoeodtjibs. Pftfos `od Bpo `ytombnjiovfrus prbsbdtjd mjyor ejo pbrfoeodtji qub sftfos `o
- Pfdbrnfsmo b`oinf`o vfrus y aj`tbrfj3 fdmudosuprbsfd io`ji soarb`rb`fmfbdto aj`tbrfjs pbrfoeodtjibs(bc3 bstomjtftfs bd dfos por Nfdnfvobstomjtftfs Gbrptf`j [rfmjrfj
NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
43/61
FDLB@@FODBP \FQ
[jrotfeftfs (@ftombnjiovfrus)
Fdlb``fodbs por vfrus gbrpbto-vfrfejb3 \GP tfpo :3 gbrpbs ij
Fdlb``fodbs por vfrus pjpfiomj gumjdo ([jpfiomjvfrus)
\frus eb ij \jrf`bij zstbr 3 pfbi, ijafos y mu`osj orji
Bpstbfd Ajrr3 oroljrfdnb3 Mododu`ibosfs fdlb``fosj
NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
Fdlb``fd vfrji ljmfifj gbrpbto v
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
44/61
Fdlb``fd vfrji ljmfifj gbrpbto v
Gbrpbs sfmpibx tfpo : Nfdnfvobstomjtftfs gb
prfmjrfj
Gbrpbs rb`urrbdtb
Fdlb``fd gbrptf`j bfdmudoebprfmfeos
Fdlb``fd nbdftji
Fdlb``fd vfrji ljmfifj gbrpbto v
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
45/61
\jrf`bij Sostbr
\jrf`bij
Gbrpbs Sostbr \frus Bpstbfd Ajrr
Mododu`ibosfs fdlb` Ibu`opijsfj vbiiuej
@ftombnjiovfrus Ri`brjs Orjibs por @
Qbtfdftfs, bsoljnftfs, `
\frus gbrpbs < y >
\frus gbrpbs tfpo 7
Fdlb``fd vfrji ljmfifj gbrpbto v
Nfdnfvobstomjtftfs gbrptf`j pr
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
46/61
@odtj`to efrb`to `od ij sjifvj o sb`rb`fodbs fd Dbrvfos sbdsftfvos y jutdomos. Njdnifo trfnbm
Pb mjdflfbstj prfd`fpjimbdtb bd dfos eb : j 2 Fd`uaj`fd3 1 j 1; ejs.
@IFDF@J \bs`uijs eoiorosjs bd ijafos, bd`js, mu`osj por`fd jdtbrfor eb ibdnuj y pjijejr euro. Lfbarb, Jebdopjtjs, @ompromfso ebi bstjeo n
n p p
Nfdnfvobstomjtftfs gbrptf`j pr
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
47/61
UQJUJMFBDUOQbposo, Gferjtj`fd, Uto. Pfdtomtf`o, Uto. J
*J`f`iovfr, Dfos3-Dormji3 :; mn/Hn/ej x 2 ejs \j Orj-Fdmudoebprfmfeos3 Fdtbr`odsuitj y Gosp
*J`f`iovfr, Jeuitos3
-1;; mn 1v/ej x > ejs, vj orji.
*Otros3
-JUA bvftjr fdlb``fodbs aj`tbrfjdjs sb`u
-@oiutorfos eb @GW.
n p p
Gbrpbs Qb`u
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
48/61
Jso`fjeo nbdbrjimbdtb j GP\-: Ebsbd`jebdjeo por lj`torbs tji
strbss, frrftj`fd io`ji o trjumjbxposf`fd soijr, bt`.
Jpjrf`fd `br`j o bd s
prfmofdlb``fd
(9 eoior, 9 eurj`fd).
[roeromo3 tbdsfd ijafji, prurfto
\bsf`uijr3 ui`brjs
p
Gbrpbs Qb`u
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
49/61
Fdef`j`fodbs3
-Bvftjr lj`torbs prb`fpftjdtbs.
-@od`fbd`fj eb trjdsmfsfafifeje ebi v
Urjtjmfbdto3
-J`f`iovfr 2% `rbmj bd oroajsb (Up
-J`f`iovfr `omp. 1;; mn 2 v/ej x 2 e(Orji).
-Rso isbr eb ajcj potbd`fj
[QB\BD@FODJUBD@FOD EBDUJI
p
\frus [jpfiomj Gu
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
50/61
EBUB@@FD EBI \FQRP [J[FIOMJ GRMJDO BD BDUFEJEBP @IFDF@JP ABDFNDJP EB IJ @J\FEJE AR@JI, MBEFJDUB IJQBJ@@FD BD @JEBDJ EB IJ [OIFMBQJPJ B GFAQFEJ@FD MOIB@RIJQ. J`tj oeodtoi. vbdbz v.06 d.1 @jrj`js jar. 1;;: .
\[G3 nrupo eb vfrus `od nbdomj
Ibsfodbs bpftbifjibs gfpbpjpfiomjtosjs y `jr`fdomjs vbrruij pfbi y bd eflbrbdtbs tfpos eb fd`iuybdeo bi trj`to jdonbdftjmu`osjs trjquboarodqufji y djsjy ij `jvfeje au`ji.
lrb`ubdtbmbdtb, fdvoiu`rjeos lormj`fd eb dbopijsfjs abdfndjs y mjifndjs
p
\frus [jpfiomj Gu
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
51/61
\BQQRNJ \RINJQ
\BQQRNJP [IJDJP
\BQQRNJP [IJDUJQBP
GF[BQ[IJPFJ B[FUBIFJI LO@JI
@ODEFIOMJ J@RMFDJEO
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
52/61
FDLB@@FODBP LRD
-Ibsfodbs aijd`js eb ij mu`osj3 godnos
- @omdmbdtb bd pj`fbdtbs fdmudo`omprombtfeos
- @fbrto nrjeo eb sftfo-bspb`flf`feje
- Ujmafd proeu`to eb ij rbsfstbd`fj jdtfaftf`j
@jdefej jiaf`jds mjs lrb`Otrjs3 `jdefej tropf`jifs, `.
@jdefej spp3 `jvfeje orji y trj`to rbspJspbrnfiius spp3fdlb``fodbs bd bi trj`to rbspfrjtor
NRDDJQ EJGIBD Dod-oeodtonbdf` fdlb`tfods fd Ebdtfstry. [brfoeodtoiony 1;;;, \oi. 56, 1;;6, >:1
@jdef
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
53/61
Fdlb``fd ebi ndbro `jdefej
@jdefej jiaf`jdsij mjs prbvjibdtb
bi 7;-62% jfsijeos sod `jsos eb `jdefefjsfs orji
@jdef
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
54/61
Fdlb``fd ebi ndbro `jdefej@jdefej jiaf`jdsij mjs prbvjibdtb
bi 7;-62% jfsijeos sod `jsos eb jdefefjsfs orji
@ODUJNFO- Fdvjsfd eb `bpjs ebi trj`to njstrofdtbstfdji o ij pfbi.- Urjdsmfsfd doso`omfji j trjvs eb `omfej, oacbtos fdjdfmjeo
`odtj`to efrb`to.
-Lj`torbs prbefspodbdtbs Urjtjmfbdto fdmudosuprbsor.Fdmudoeblf`fbd`fj `biuijr.Efjabtbs suayj`bdtb.
Gfposfjifj.
@jdef
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
55/61
- Brftbmjtosj
- [sbueombmarjdosj Pfndo eb Df oishy +
@jdef
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
56/61
- Gfpbrpisf`j
@odef`fodbs jso`fjejs j defej-Zubiftfs jdnuijr
-Niosftfs romaofeji mbefj
UQJUJMFBDUO Upf`o DFPUJUFDJ OQJI @jdef
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
57/61
Eosfs3 2;;.;;; R.F `jej 7 grs. por :5 ejs
(o 57 gorjs ebspus qub ebsjpjrbz`jd ios sdtomjs).
Puspbdsfd orji (:-1 mi. 0-5 vb`bs efjrfjs),
[omjej tpf`j (:;;.;;; R.F. /nr.).
MF@ODJSOI :15 mn/2mi.
Eosfs3:/1 mbefej 5 vb`bs ji ej.
(Bqufvjib j ij `jdtfeje eb `u`gjrjej)
@IOQGBWFEFDJ ;,:1% prbsbdtj`fd3 Nbi .
Pfstmf`o LIR@ODJSOI JDLOUBQB@FD
`omprfmfeos 2;, :;;, :2; mn.
Fdlb``fodbs ldMu`orm
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
58/61
Ubrjputf`j eb jpoyo bd ij mu`ormf`osfs Qbv. Otorrfdoijrfdnoi. @fr. @jabzj @ubiio 1;;
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
59/61
Ubrjputf`j eb jpoyo bd ij mu`ormf`osfs Qbv. Otorrfdoijrfdnoi. @fr. @jabzj @ubiio 1;;
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
60/61
FM[OQUJDUB3 EFJNDOPUF@O EFLBQBD@FJILJ@UOQ BUFOINF@O UQJUJMFBDUORPO AJQQBQJP EB [QOUB@@FD
FDLB@@FO
7/28/2019 non odontogenic maxillofacial infection infecciones no odontogenicas maxilofacial
61/61
FDLB@@FODO OEODUOND
Er. [bero Jrjvbdj UorrbsFdstftuto eb Oeodtobstomjtoionj
@tberj @frunj FF