Early Surgical Management and Triple Antibiotic Regimen in the Management of Necrotizing Fasciitis of Scalp

Abstract

Necrotizing fasciitis (NF) is a rare yet alarming condition faced by a maxillofacial surgeon. This article would emphasize the importance of early aggressive surgical management with triple antibiotic regimen of penicillinase-resistant penicillin, aminoglycoside and metronidazole in the successful management of NF. We would also like the emphasize the importance of 1% hydrogen Peroxide + Saline + Betadine followed by copius irrigation with Betadine+Saline + Metronidazole in NF along with a negative pressure drain to manage NF effectively.