Cervical Necrotizing Fasciitis Caused by Dental Infection

Abstract

Necrotizing fasciitis (NF) is defined as rapidly progressive necrosis of subcutaneous fat and fascia. Although NF of the face is rare, its mortality rate is nearly 30%. It usually originates from dental infection and can lead to involvement of the neck, mediastinum, and chest wall. Complications resulting from pre-existing systemic diseases can increase the mortality rate. Known complication factors for NF include diabetes, malnutrition, advanced age, peripheral vascular disease, renal failure, and obesity. Here, we report a case of NF originating from dental infection in an 88-year-old woman already diagnosed with hypertension, thoracic aortic aneurysm, and renal diseases. Such conditions limited adequate surgical and antibiotic treatment. However, interdisciplinary treatment involving multiple departments was implemented with good results.

June’s 2019 Full Issue PDF

“…In the clinic of maxillofacial surgery, abscesses and cellulitis of the maxillofacial area and neck, in terms of frequency of their occurrence, occupy one of the first places. [18][19][20][21][22][23][24][25][26][27][28][29][30] In recent years, the number of patients with this pathology has increased significantly, the course y of the process has worsened, which often leads to such severe complications as mediastinitis, sepsis, facial vein thrombosis of the face and brain sinuses. Thus, the relevance of this research topic does not cause doubts.…”

Cervical necrotizing fasciitis due to periapical infection of the mandibular canine tooth

“…CNF mainly originates from odontogenic infections of molar teeth. 7,8 Tung-Yiu 9 reported that, of all the odontogenic infections admitted to their clinic in a period of 10.5 years, the incidence of CNF was 2.6% and mandibular molars were the most common source, probably because the roots of first and second molar teeth are in close relationship with submandibular and submassateric spaces. 3 However, in the present case, the source of the odontogenic infection was the right mandibular canine tooth.…”

Management of Unilateral Buccal Necrotizing Fasciitis Superimposed with Submandibular Abscess At Colli Dextra in a Type 2 Diabetes Mellitus patient : A Case Report

“…The occurrence of NF in the maxillofacial region is very rare and is generally only seen in about 2.5%-5% of all cases. [12] It is commonly associated with systemic diseases such as DM.13 NF in the maxillofacial region is caused by an odontogenic infectious process and can also be caused by tonsillopharyngitis, or salivary gland infection. [11,14]…”