Open AccessJournal Article
Necrotizing fasciitis of the head and neck: surgical outcomes in three cases.
Reads0
Chats0
TLDR
The importance of eradicating the source of infection followed by frequent, meticulous wound dressing and strict blood sugar control to obtain better outcomes in managing necrotizing fasciitis of the head and neck is advocated.Abstract:
Necrotizing fasciitis of the head and neck is a rare, rapidly progressive infection involving the skin, subcutaneous tissue and fascia. We report three cases of necrotizing fasciitis that differ in their presentation and outcome. The first case involves a patient who presented with progressively enlarging anterior neck swelling that was later complicated by dehydration and reduced consciousness. The second case is a patient with neck swelling and ipsilateral otorrhea. The third case concerns a patient with a buccal ulcer complicated by ipsilateral facial swelling. All of them underwent a fasciotomy with wound debridement with the addition of a cortical mastoidectomy in the second case. Two of these patients recovered well. Unfortunately, the third case succumbed to death due to airway compromise and septicaemia. We advocate the importance of eradicating the source of infection followed by frequent, meticulous wound dressing and strict blood sugar control to obtain better outcomes in managing necrotizing fasciitis of the head and neck. However, involvement of the airway carries a grave prognosis despite aggressive treatment.read more
Citations
More filters
Journal ArticleDOI
Cervical necrotizing fasciitis: Systematic review and analysis of 1235 reported cases from the literature.
Dakshika A. Gunaratne,Evan Tseros,Zubair Hasan,Akshay S. Kudpaje,Anand Suruliraj,Mark C. Smith,Mark C. Smith,Mark C. Smith,Faruque Riffat,Faruque Riffat,Carsten E. Palme +10 more
TL;DR: Cervical necrotizing fasciitis is a progressive soft tissue infection with significant morbidity and mortality.
Journal ArticleDOI
Pattern and predictors of mortality in necrotizing fasciitis patients in a single tertiary hospital
Gaby Jabbour,Ayman El-Menyar,Ayman El-Menyar,Ruben Peralta,Nissar Shaikh,Husham Abdelrahman,Insolvisagan Natesa Mudali,Mohamed Ellabib,Hassan Al-Thani +8 more
TL;DR: Multivariate analysis showed that age and SOFA score were independent predictors of mortality in the entire study population of NECrotizing fasciitis patients.
Journal ArticleDOI
Pseudomonas aeruginosa as a culprit of cervical necrotizing fasciitis: A case report
TL;DR: Wang et al. as mentioned in this paper reported a case of a 48-year female who presented with neck pain for 10 days, and a culture of the wound showed Pseudomonas. With appropriate antibiotics and surgical intervention, her condition gradually improved.
Journal ArticleDOI
Necrotizing Fasciitis: Case series of four cases
TL;DR: Necrotizing Fasciitis called as flash eating disease is still prevalent in developing countries and surgical debridement under antibiotic cover is the mainstay of treatment and has usually good prognosis.
Journal ArticleDOI
Cervical Necrotizing Fasciitis: An Institutional Experience
TL;DR: In this article , the authors have reviewed cervical necrotizing fasciitis cases treated in a hospital and analyzed the various risk factors, laboratory indices, and treatment modalities that affect the prognosis of this deadly disease.
References
More filters
Journal ArticleDOI
Predictors of mortality in patients with necrotizing fasciitis.
TL;DR: Aeromonas infection, Vibrio infection, cancer, hypotension, and band form white blood cell count greater than 10% are independent positive predictors of mortality in patients with necrotizing fasciitis, and Streptococcal and staphylococcal infections are not predictor of mortality.
Journal ArticleDOI
Necrotizing fasciitis of the face.
TL;DR: Four additional cases of facial necrotizing fasciitis are described, one of the four patients died as a result of sepsis and multi‐organ system failure, and two of the three surviving patients had significant facial disfigurement.
Journal ArticleDOI
Cervical necrotizing fasciitis : a distinct clinicopathological entity ?
TL;DR: It is demonstrated with a review of the literature that cervical necrotized fasciitis and craniofacial necrotizing fAsciitis are two distinct clinicopathological conditions.