Cervical Necrotizing Fasciitis: An Institutional Experience

Gupta, Vikas; Sidam, Shaila; Behera, Geeta; Kumar, Anil; Mishra, Utkal P

doi:10.7759/cureus.32382

Cited by 4 publications

(9 citation statements)

References 13 publications

(26 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NF predominantly occurs in the extremities, perineum, or trunk, with occurrence in the head and neck region accounting for approximately 10% of all cases[ 4 , 6 , 7 ]. CNF in the head and neck is often caused by odontogenic abscesses resulting from dental caries or chronic periodontitis[ 1 - 4 , 7 ]. Additionally, CNF may develop as a secondary infection following trauma or upper respiratory infections[ 1 - 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…CNF in the head and neck is often caused by odontogenic abscesses resulting from dental caries or chronic periodontitis[ 1 - 4 , 7 ]. Additionally, CNF may develop as a secondary infection following trauma or upper respiratory infections[ 1 - 4 , 7 ]. In the cases presented in this study, one CNF case had an odontogenic cause, whereas the other was secondary to a skin infection.…”

Section: Discussionmentioning

confidence: 99%

“…Several risk factors have been associated with NF, including diabetes mellitus, hypertension, myxedema, alcoholism, arteriosclerosis, advanced age, chronic renal failure, malnutrition, and metastatic cancer[ 1 - 4 , 6 , 7 ]. Notably, both cases in this report showed some of these risk factors, including diabetes mellitus, hypertension, and chronic renal failure.…”

Section: Discussionmentioning

confidence: 99%

“…CNF management depends on the early initiation of broad-spectrum antibiotics and aggressive serial surgical debridement[ 4 , 6 , 7 ]. These strategies can decelerate the rate of tissue destruction and enhance the overall survival rate.…”

Section: Discussionmentioning

confidence: 99%

“…Necrotizing fasciitis (NF) is a relatively uncommon but life-threatening soft tissue infection with significant mortality, even if optimal treatment is administered[ 1 - 6 ]. Cervical NF (CNF) is a severe soft tissue infection characterized by rapidly progressive necrosis of the fascia and subcutaneous tissues along cervical fascial planes, predominantly affecting the face and neck areas[ 1 - 4 , 7 ]. This condition can lead to extensive gangrene and abscess formation in the deep neck space[ 1 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports

Cho,

Jang,

Kim

2024

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Cervical necrotizing fasciitis (CNF) is a rare, aggressive form of deep neck space infection with significant morbidity and mortality rates. Serial surgical debridement acts as the cornerstone of CNF treatment; however, it often results in defects requiring complex reconstructions. CASE SUMMARY We report two cases in which the keystone flap (KF) was used for CNF defect coverage: Case 1, an 85-year-old patient with CNF in the anterior neck, and Case 2, a 54-year-old patient with CNF in the posterior neck. Both patients received empirical intravenous antibiotic therapy and underwent serial debridement, enabling adequate wound preparation and stabilization. The final defect size measured 5.5 cm × 12 cm in Case 1 and 6 cm × 11 cm in Case 2. For defect coverage, we employed an 8 cm × 19 cm type II KF based on perforators from the superior thyroid artery in Case 1 and a 9 cm × 18 cm type II KF based on perforators from the transverse cervical artery in Case 2. Both flaps showed complete survival. No postoperative complications occurred in both cases, and favorable outcomes were observed at 7- and 6-month follow-ups in case 1 and 2, respectively. CONCLUSION We effectively treated CNF-associated defects using the KF technique; KF is viable for covering CNF defects in carefully selected cases.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports

Cho,

Jang,

Kim

2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

A Rare Case of Benign Tumor Deriving from the Eccrine Glands of the Forearm

Burko,

Juggath

2024

ejmhr

View full text Add to dashboard Cite

Background: Cutaneous adnexal tumors are a rare cluster of neoplasms deriving from the adnexal epithelial parts of the skin, including the eccrine sweat gland epithelium. They are uncommon and heterogeneous histological entities. Generally, they present as solid or cystic lesions that seldom undergo malignant transformation. Due to their rarity in routine clinical practice, they often pose a diagnostic dilemma. Management usually involves appropriate wide local resection margins of the primary tumor. Recurrence after incomplete excision is well-known, as observed in our case. Case presentation: A patient presented here with a recurrent cutaneous adnexal tumor on the dorsum of the forearm, histopathologically proven to be a syringoepithelioma (eccrine acrospiroma), which was planned to be managed by repeat surgical excision with adequate volume. Conclusion: Eccrine acrospiroma is a solitary benign cutaneous tumor arising from the eccrine sweat gland epithelium. Only pathological analysis will lead to the diagnosis. The surgical management approach of adequate excision is the only effective treatment to prevent recurrence and malignant transformation.

show abstract

Cervical Necrotizing Fasciitis: A Surgical Outcome Analysis

Sidam,

Bhagat,

Chavan

et al. 2023

Cureus

Self Cite

View full text Add to dashboard Cite

Cervical necrotizing fasciitis is an immensely progressive, difficult-to-diagnose soft tissue infection of the fascial planes, skin, and subcutaneous tissue. It has marked morbidity and mortality. In this case report, we analyzed the risk factors, laboratory indices, and treatment modalities that affect the outcome of this fatal disease. This is a retrospective case series of cases admitted within a short span of six months between January and June 23. The cases were followed up monthly for three months, and the diagnosis was made on a clinical, pathological, radiological, and histopathological basis. All the cases were managed with neck exploration and aggressive surgical debridement in an emergency department, dressing of the wound with hydrogen peroxide and betadine twice daily, triple broad-spectrum antibiotic therapy for polymicrobial infection, and tight glycemic control. There were no complications, and all the patients survived. We report our cases of cervical necrotizing fasciitis that had similar presentations but varied outcomes. Here, we would like to advocate the importance of immediate management in the form of neck exploration and debridement at the earliest after the diagnosis has been established. Hyperglycemia should be brought under control, and daily aseptic dressing with removal of the slough and source of infection would greatly affect the outcome of this deadly disease.

show abstract

Cervical Necrotizing Fasciitis: An Institutional Experience

Cited by 4 publications

References 13 publications

Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports

Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports

A Rare Case of Benign Tumor Deriving from the Eccrine Glands of the Forearm

Cervical Necrotizing Fasciitis: A Surgical Outcome Analysis

Contact Info

Product

Resources

About