TY - JOUR ID - 40577 TI - Cervicofacial Necrotizing Fasciitis in Patients with No Underlying Medical Conditions: A Review of Four Cases Seen in Twelve Months at a Nigerian Tertiary Hospital JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Adewale, Adesina Oluwafemi AU - Olamide, Opaleye Taofiq AU - Yussuf, Salmai Ajibola AU - Stephen, Idowu Omobolaji AD - Department of Consultant and Head, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Lagos State University College of Medicine, Lagos State, Nigeria AD - Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Lagos State University College of Medicine, Lagos State, Nigeria Y1 - 2018 PY - 2018 VL - 43 IS - 6 SP - 653 EP - 658 KW - Neck KW - Fasciitis KW - necrotizing KW - infection KW - Tooth DO - 10.30476/ijms.2018.40577 N2 - Necrotizing fasciitis of the head and neck is a rare but rapidly progressive infection involving the skin, subcutaneous tissue, and fascia. We report 4 cases of cervicofacial necrotizing fasciitis with similar patterns of presentation. All the 4 cases presented with an odontogenic source and no underlying medical condition. All the patients had tooth extraction and serial wound debridement. Three of these patients recovered well, and healing of the wound occurred by secondary intention. One patient had a resultant neck defect, which was repaired with a supraclavicular island flap after the infection had subsided. We advocate the importance of early detection of necrotizing fasciitis with or without an underlying medical condition and an aggressive medical and surgical intervention. Additionally, eradication of the source of infection is highly indicated to reduce the mortality of this disease. UR - https://ijms.sums.ac.ir/article_40577.html L1 - https://ijms.sums.ac.ir/article_40577_41d7bc0b0fb34ebd829d832f2f68ac83.pdf ER -