De Leyva, P.; Cárdenas-Serres, C.; Ranz-Colio, Á.; Almeida, F.; Sánchez-Jáuregui, E.; Dios-Díez, P.; Acero, J. Cervical Necrotizing Fasciitis: a life-threatening emergency in Oral and Maxillofacial Surgery. Preprints2023, 2023051702. https://doi.org/10.20944/preprints202305.1702.v1
APA Style
De Leyva, P., Cárdenas-Serres, C., Ranz-Colio, Á., Almeida, F., Sánchez-Jáuregui, E., Dios-Díez, P., & Acero, J. (2023). Cervical Necrotizing Fasciitis: a life-threatening emergency in Oral and Maxillofacial Surgery. Preprints. https://doi.org/10.20944/preprints202305.1702.v1
Chicago/Turabian Style
De Leyva, P., Paula Dios-Díez and Julio Acero. 2023 "Cervical Necrotizing Fasciitis: a life-threatening emergency in Oral and Maxillofacial Surgery" Preprints. https://doi.org/10.20944/preprints202305.1702.v1
Abstract
Necrotizing fasciitis is a life-threatening soft-tissue infection affecting the deep fascia and subcutaneous tissue. It is characterized by a fulminant course and high mortality rates. NF of the head and neck is very rare, most cases being odontogenic in origin. Streptococcus spp. and Staphylococcus spp. are the most common isolated organisms. If the infection progresses to descending mediastinitis the prognosis becomes very poor. Since the initial clinical features can be similar to those of a non-necrotizing deep cervical infection, a high degree of suspicion is critical for an early diagnosis. Computed tomography scan can be useful in the diagnosis and to define the extent of the infection. Early and aggressive surgical debridement of all compromised tissue and antibiotic therapy and fluid resuscitation are essential and should not wait for bacterial culture results. Despite prompt and adequate treatment, mortality of CNF can be as high as 35%.
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
