Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12–24 h. Early identification and treatment is needed. Citation: Lambade PN, Dolas RS, Virani N, Lambade DP () Cervicofacial Necrotising Fasciitis of Odontogenic Origin: A Review. Necrotizing fascitis is rapidly spreading soft tissue infection involving the subcutaneous tissues. Cervicofacial necrotizing fasciitis (CNF) is rare complication from.

Author: Mazuk Moogukus
Country: Iceland
Language: English (Spanish)
Genre: Music
Published (Last): 17 December 2005
Pages: 343
PDF File Size: 12.44 Mb
ePub File Size: 18.3 Mb
ISBN: 718-7-37278-732-2
Downloads: 56651
Price: Free* [*Free Regsitration Required]
Uploader: Tuzahn

Subsequent culture from different tissue samples sent during the repeated debridements grew Klebsiella sp.

When in doubt, a small incision can be made into the affected tissue, and if a finger easily separates the tissue along the fascial plane, the diagnosis is confirmed and an extensive debridement should be performed. The patient was managed by immediate and repeated extensive debridements and split-skin grafting. It uses six laboratory values: At that time, necrotizing soft-tissue infection was known as phagedaenic gnaw – biting or chewing which gradually make a hole or destroying it ulcer, phagedena gangrenous, gangrenous ulcer, malignant ulcer, putrid ulcer, or hospital gangrene.

Early diagnosis is difficult, as the disease often looks early on like a simple superficial skin infection. J Oral Maxillofac Surg. The parapharyngeal spaces were clear and there was no airway compromise. Areas of initial discoloration, oozing, and necrosis in the right cervicofacial region.

Cervico-facial necrotizing fasciitis.

Archived from the original on 29 June For reasons that are unclear, it occasionally occurs in people with an apparently normal general condition. National Center for Biotechnology InformationU. Can we expect a favourable outcome? Necrotizing fasciitis Synonyms Flesh-eating bacteria, flesh-eating bacteria syndrome, [1] necrotizing soft tissue infection NSTI[2] fasciitis necroticans Person with necrotizing fasciitis.


Hence the need to create awareness among rural and tribal populations on the danger of inflicting such trauma as a remedy for odontogenic abscesses.

Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential. The darker red center is going black. The inhibition of prostangladin E2 production reduces inflammatory response and leukocyte adhesion, and thus reduces immune response against bacterial invasion, giving rise to soft-tissue infection.

However, cellulitic soft tissues are sometimes spared from debridement for later skin coverage of the wound. The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves.

Minor trauma triggering cervicofacial necrotizing fasciitis from odontogenic abscess

Necrotizing changes affecting the groin are known as Fournier gangrene. Craniofacial necrotizing fasciitis secondary to sinusitis.

Cellulitispyomyositisgas gangrene [6]. Necrotizing fasciitis NFcommonly known as flesh-eating diseaseis an infection that results in the death of the body’s soft tissue. Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient. Role of CT in diagnosis and management. Clinical and radiographic examination revealed bilateral parotid and buccal space pus collection with right submandibular and cervical involvement; subcutaneous gas formation was also evident [ Figure 1 ].

Current Problems in Surgery. Immediate surgical exploration is indicated in the presence of subcutaneous emphysema, obvious fluctuance, skin necrosis in an area of cellulitis, or rapidly advancing infection despite 24 to 48 h of medical therapy. Type III infection – Vibrio vulnificusa bacterium found in saltwateris a rare cause of this infection, which occurs through a break in the skin. Intravenous penicillin, gentamicin, and clindamycin were administered initially.


Early recognition and aggressive treatment of cervicofacial fasciitis can arrest its rapid progression and prevent devastating sequelae. Archived from the original PDF jecrotizing December 2, Sometimes, colostomy may be necessary to divert the excretory products to keep the wound at the perineal area clean. Views Read Edit View history. For infection of the perineum and genitals Fournier gangrenetrauma, surgery, urinary tract infectionstones, and Bartholin gland abscess are the usual causes.

CASE REPORT A year-old male presented to the otolaryngology department of our hospital with a day history of generalized ceervicofacial pain and bilateral facial swelling, pain, trismus, and fever; these symptoms had begun 1 week after a toothache.

Ligamentopathy Ligamentous laxity Hypermobility. Create a personal account to register for email alerts with links to free full-text articles. Sign in to xervicofacial a comment Sign in to your personal account. Marked crepitus was noted extending from the zygomatic region to the neck and upper chest.

Archived from the original on Prostaglandin has been responsible for fever, inflammation, and pain.