Aggressive Necrotizing Fasciitis of the Head and Neck Resulting in Massive Defects

Ferzli, George; Sukato, Daniel C.; Mourad, Moustafa; Kadakia, Sameep; Gordin, Eli; Ducic, Yadranko

doi:10.1177/0145561319839789

Cited by 29 publications

(42 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 A study of head and neck NF in Texas, United States, noted an average of 4.6 surgical debridements over 2 weeks. 15 In this study, 50% of patients also required a partial pharyngectomy to clear disease. Wound care is critical between operative interventions to promote antisepsis to the exposed defect, often using 0.25% acetic acid wet to dry packing.…”

Section: Treatmentmentioning

confidence: 65%

“…Wound care is critical between operative interventions to promote antisepsis to the exposed defect, often using 0.25% acetic acid wet to dry packing. 15 Depending on the size of tissue loss, use of wound vacuum-assisted closure may help minimize dressing changes, promote granulation tissue, and decrease time to infection clearance. 16 In addition, hyperbaric oxygen has been utilized as adjuvant treatment of clostridium-related NF of the face with a possible reduction in mortality, 17 although further studies are needed to understand its utility with this disease process.…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Noma and Necrotizing Fasciitis of the Face and Neck

Miller

Shaye

2021

Facial Plast Surg

View full text Add to dashboard Cite

Necrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.

show abstract

Section: Treatmentmentioning

confidence: 65%

Section: Treatmentmentioning

confidence: 99%

Noma and Necrotizing Fasciitis of the Face and Neck

Miller

Shaye

2021

Facial Plast Surg

View full text Add to dashboard Cite

show abstract

“…In most cases, multiple episodes of debridement are necessary, potentially resulting in significant soft tissue defects. After all nonviable tissue is excised and the infection is cleared, reconstruction with soft tissue flaps may be necessary, especially in patients with massive defects [ 15 , 16 ]. The patients were managed with IV polyantibiotic therapy, analgesics, IV fluids, wound debridement and extraction of the offending teeth.…”

Section: Discussionmentioning

confidence: 99%

Cervicofacial necrotizing fasciitis after topical application of herbal medicine

Acevedo

Cervantes

Ketemepi

et al. 2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Cervical necrotizing fasciitis represents an aggressive form of deep neck space infection with a high mortality rate. The origin is generally odontogenic, in most cases, resulting from a dental abscess. A series of three cases developed after local application of herbal medicine in patients with no co-morbidities and with a history of a toothache in the lower quadrants for >2 weeks is presented. All patients were managed with antibiotics, extraction of offending tooth and serial wound debridement. Two patients recovered with a resultant skin defect on the neck and one died due to multiple organ failure. This case series demonstrated that early diagnosis, prompt surgical intervention and appropriate medical treatment are very important to increase patient survival. Late report to hospital because of financial constraints and over-reliance on herbal preparation could lead to the development of serious complication in patients with dental infections and could even lead to death of the patient.

show abstract

“…1 Necrotizing fasciitis of the neck constitutes an aggressive form of deep neck infection that is associated with a high mortality rate. 2 Treatment for this condition requires critical medical and surgical intervention. Necrotizing fasciitis of the head and neck can result from a breach in oropharynx mucous membrane integrity following surgery or instrumentation and can develop in cases of odontogenic infection.…”

mentioning

confidence: 99%

“…The physician should secure the airway, perform repeated debridement, and proceed with reconstruction after the wound has been cleared. 2…”

mentioning

confidence: 99%

Necrotizing Fasciitis of the Neck

Wang

Chen

2019

Ear Nose Throat J

View full text Add to dashboard Cite

A 67-year-old woman with a history of type 2 diabetes was referred to our hospital and reported painful swelling on the left neck over a 2-week period. She had visited another hospital where she was administered oral antibiotics, but her symptoms deteriorated. Her temperature, pulse, and blood pressure were 35.3 C, 107 bpm, and 92/50 mm Hg, respectively. During physical examination, bruising, tenderness, and severe swelling of the left neck were noted (Figure 1A). Laboratory data revealed the following: a white blood count of 11 340/mL, a hemoglobin level of 10.3 g/dL, a creatinine level of 1.9 mg/dL,

show abstract

Aggressive Necrotizing Fasciitis of the Head and Neck Resulting in Massive Defects

Cited by 29 publications

References 10 publications

Noma and Necrotizing Fasciitis of the Face and Neck

Noma and Necrotizing Fasciitis of the Face and Neck

Cervicofacial necrotizing fasciitis after topical application of herbal medicine

Necrotizing Fasciitis of the Neck

Contact Info

Product

Resources

About