Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Cervicofacial Necrotizing Fasciitis in Patients with No Underlying Medical Conditions: A Review of Four Cases Seen in Twelve Months at a Nigerian Tertiary Hospital

Document Type : Case Series

Authors

Adesina Oluwafemi Adewale 1
Opaleye Taofiq Olamide 2
Salmai Ajibola Yussuf 2
Idowu Omobolaji Stephen 2

1 Department of Consultant and Head, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Lagos State University College of Medicine, Lagos State, Nigeria

2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Lagos State University College of Medicine, Lagos State, Nigeria

https://doi.org/10.30476/ijms.2018.40577
Abstract
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.

Keywords

Neck
Fasciitis
necrotizing
infection
Tooth
Iranian Journal of Medical Sciences
Volume 43, Issue 6 - Serial Number 6
96
November 2018
Pages 653-658


  • Received 23 July 2017
  • Revised 15 March 2020
  • Accepted 24 December 2018

Article View 10,542
PDF Download 4,883

Home

Guide for Authors

Submit Manuscript

Guide for Reviewers

Forms

News

Contact Us

FAQ

Suggestion and Complain