2017
DOI: 10.1080/23744235.2017.1342142
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Hyperbaric oxygen may only be optional in head and neck necrotizing fasciitis: a retrospective analysis of 43 cases and review of the literature

Abstract: Our findings suggest that HBOT for NF-HN may only be optional and that the decision relies on an individual assessment of each patient. Further research is needed concerning the evidence of HBOT and towards selecting the patients benefitting from HBOT.

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Cited by 12 publications
(20 citation statements)
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“…In this study, it is probable that excluding conservatively treated DNIs and including necrotizing fasciitis, we have created a bias towards analyzing infections with a more severe course. The benefit of HBO treatment as an adjuvant in cervical necrotizing infections is unsolved [25][26][27][28][29]. Descending mediastinitis can still be considered a highly life-threatening condition having a reported mortality rate varying from 0 to 40%, being overall 17.5% in the latest systematic review of 84 patients by Prado-Calleros 2016 [5,22,[30][31][32][33].…”
Section: Discussionmentioning
confidence: 99%
“…In this study, it is probable that excluding conservatively treated DNIs and including necrotizing fasciitis, we have created a bias towards analyzing infections with a more severe course. The benefit of HBO treatment as an adjuvant in cervical necrotizing infections is unsolved [25][26][27][28][29]. Descending mediastinitis can still be considered a highly life-threatening condition having a reported mortality rate varying from 0 to 40%, being overall 17.5% in the latest systematic review of 84 patients by Prado-Calleros 2016 [5,22,[30][31][32][33].…”
Section: Discussionmentioning
confidence: 99%
“…23 Today, CNF still exhibits a mortality rate of up to 75%. 21 In our study, the mortality rate was 43%, and it was determined that the deceased patients died during ICU follow-up due to similar reasons. We think that the fact that presence of diabetes in most of our…”
Section: Discussionmentioning
confidence: 69%
“…20 Methods such as hyperbaric oxygen therapy and vacuum systems are stated to be effective. 5,21 Especially hyperbaric oxygen treatment is emphasized to decrease mortality and length of hospital stay. 9 The Infectious Diseases Association of America recommends combinations such as vancomycin + piperacillin/tazobactam or vancomycin + carbapenem or vancomycin + ampicillin/sulbactam as for empirical antibiotherapy to be applied in this Picture.…”
Section: Discussionmentioning
confidence: 99%
“… 2 It was evident from a case series study conducted at Denmark that hyperbaric oxygen may only be optional in head and neck necrotizing fasciitis. 3 …”
mentioning
confidence: 99%