Management and postoperative use of double-cannula irrigation–drainage tube in cervical necrotizing fasciitis: a Chinese single-institution experience of 46 patients

Zhou, Enhui; Suru, Liu; Zhu, Huang; Yi, Hongliang; Chen, Xiaoping

doi:10.1007/s00405-020-06424-7

Cited by 7 publications

(12 citation statements)

References 25 publications

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“…Advanced age is also significantly linked to mortality. It occurs very rarely in children 8,9 . Consistently, the patients in our study were predominantly male.…”

Section: Discussionsupporting

confidence: 88%

“…It occurs very rarely in children. 8,9 Consistently, the patients in our study were predominantly male. It was observed that the deceased patient group was older than the surviving group, the majority of which consisted of men.…”

Section: Discussionsupporting

confidence: 81%

“…Timely surgical debridement and broad‐spectrum antibiotherapy are considered the gold standard in the literature 5 . Additionally, current publications also recommend treatment options such as daily wound dressing, hyperbaric oxygen therapy, intravenous immunoglobulin, vacuum systems, wound care with double cannulated apparatus, etc 7,8 …”

Section: Introductionmentioning

confidence: 99%

“…5 Additionally, current publications also recommend treatment options such as daily wound dressing, hyperbaric oxygen therapy, intravenous immunoglobulin, vacuum systems, wound care with double cannulated apparatus, etc. 7,8 Gauze pads containing rifampicin, nitrofurazone, betadine, hydrogen peroxide, metronidazole gel, etc. can be used in local wound care.…”

mentioning

confidence: 99%

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Comparison of death and survival cervical necrotizing fasciits cases

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Yılmaz²,

Kınış

et al. 2021

J of Cosmetic Dermatology

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Background Cervical Necrotizing Fasciitis (CNF) is associated with a high mortality rate. The occurrence of mediastinitis with CNF may increase mortality up to 70%. Aims We aimed to identify the differences between surviving and deceased cases. Methods The present study was conducted retrospectively by scanning the files of 16 patients between the ages of 19–71 who were diagnosed with CNF. Patients were divided into two groups as the surviving patient group (SPG) and the deceased patient group (DPG). Both groups were compared in terms of age, gender, Laboratory Risk Indicator for Necrotizing Fasciitis (LRİNEC) score, duration of symptom onset to hospital admission, use of antibiotherapy prior to admission, duration of hospitalization, presence of diabetes mellitus (DM), presence of dental etiology, mediastinitis, and respiratory distress at the time of admission. Results Diabetes mellitus was the most common comorbid disease. 5 out of 7 deceased patients had DM. Dental events were the most common etiology. Rapid surgical debridement and airway management was the first treatment method. The most frequently isolated species in the culture was Streptococcus. 6 of 11 patients who developed mediastinitis deceased at the end of the process. Conclusion Dental pathologies mostly play a role in the etiology. It is obvious that dentists, another occupational group that frequently encounters this patient group, have a critical role in this process. Therefore, precise attention should be given to dental problems in patients with diabetes, and hospitalization and initiation of broad‐spectrum antibiotherapy should be considered in case of suspicion of deep neck infection.

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“…Advanced age is also significantly linked to mortality. It occurs very rarely in children 8,9 . Consistently, the patients in our study were predominantly male.…”

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Comparison of death and survival cervical necrotizing fasciits cases

Sizer

Yılmaz²,

Kınış

et al. 2021

J of Cosmetic Dermatology

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show abstract

“…The used method in this study is not novel. It was published in January 2016 and updated by En-Hui Zhou et al, in 2020 as double-cannula irrigation–drainage tube [ 14 ]. The main advantage of this technique is to obtain the necrotic material through the suction tube.…”

Section: Discussionmentioning

confidence: 99%