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.

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In NF of the face and scalp, even minor trauma is independently more strongly associated with the condition than infection.

Review of the literature and report of a case. Open in a separate window. A Rare Disease, Especially for the Healthy”.

Necrotizing fasciitis – Wikipedia

Gallo, MD ; Michael L. The time delay in performing imaging is a major concern. Cerrvicofacial the left side, there was a blackish discoloration over the cheek [ Figure 3 ]. Archived at the Wayback Machine.

Clostridium sordellii can also produce two major toxins: The areas of debridement had to be extended on the following days as the zones of involvement and necrosis were seen necrotizihg increase [ Figure 4 ]. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more.

Necrotizing fasciitis may be prevented with proper wound care and handwashing. Archived from the original on Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient. Jpn J Oral Maxillofac Surg. Trauma has been reported to be an important predisposing factor for NF of the face. His hemoglobin was 7. For infection of the perineum and genitals Fournier gangrenetrauma, surgery, urinary tract infectionstones, and Bartholin gland abscess are the usual causes. Retrieved 13 August Alpha-toxin causes excessive platelet aggregation which blocks blood vessels and deprives the vital organs of oxygen supply.


Necrotizing fasciitis NFcommonly known as flesh-eating diseaseis an infection that results in the death of the body’s soft tissue. Odontogenic deep neck infections and buccal space infections are very common at our rural tertiary care center that caters to a population that is largely from the lower socioeconomic strata; bad oral and general hygiene is common. Severe painfeverpurple colored skin in the affected area [3].

The complications that have been associated with NF of the head and neck include necrosis of the chest wall fascia, mediastinitis, pleural effusion, pericardial effusion, empyema, airway obstruction, arterial necrootizing, jugular vein thrombophlebitis, septic shock, lung abscess, carotid artery thrombosis, and DIC. Wound carehandwashing [3]. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more.

Necrotizing fasciitis can be partly prevented by good wound care and handwashing. It uses six laboratory values: NF is most common in the perineum, abdominal wall, and extremities.

Cervico-facial necrotizing fasciitis.

Symptoms may include fever, swelling, and complaint of excessive pain. He was discharged in a stable condition and is presently doing well [ Figure 6 ]. Davis, MD ; et al Julio F. Retrieved 28 May The raw areas contracted and multiple vervicofacial of split-thickness skin grafts were taken from the lateral thigh and grafted on to the areas left exposed by the surgical debridements.


The eyelids, scalp, face, and neck are only rarely involved and only a few cases have been reported in the head and neck region. Typically, the infection enters the body through a break in the skin such as a cut or burn. Please review our privacy policy. Arch Otolaryngol Head Neck Surg.

Trauma is the usual cause of the infection such as intravenous drug injection, insulin injection, animals and insect bites, catheter insertion over the skin, or a fistula connecting skin to the internal body organs.

Review and current concepts in treatment, systems of care, and outcomes”. For reasons that are unclear, it occasionally occurs in people with fasviitis apparently normal general condition. Fasciiitis of odontogenic NF are very few as compared to odontogenic abscesses even at centers that deal with large numbers of dental infections. A report of 11 cases.