Nonoperative Catheter Management for Cervical Necrotizing Fasciitis With and Without Descending Necrotizing Mediastinitis

Abstract

To evaluate the clinical utility of catheter drainage for cervical necrotizing fasciitis (CNF) with and without descending necrotizing mediastinitis (DNM).

Descending necrotizing mediastinitis: 5 years of published data in Japan

“…This technique is superior in terms of pain control, prevention of protein leakage from the wound site, and less secondary infection by antibiotic‐resistant bacteria. Although some questioned the reliability diagnosing the CNF/DNM without surgical exploration and how the necrotic tissue is debrided with this less invasive technique, the mortality with their method is promising (0%) and 3.1% in our follow‐up report …”

Descending necrotizing mediastinitis: 5 years of published data in Japan

“…This technique is superior in terms of pain control, prevention of protein leakage from the wound site, and less secondary infection by antibiotic‐resistant bacteria. Although some questioned the reliability diagnosing the CNF/DNM without surgical exploration and how the necrotic tissue is debrided with this less invasive technique, the mortality with their method is promising (0%) and 3.1% in our follow‐up report …”

Cervical Necrotizing Fasciitis as a Complication of Acute Epiglottitis Managed with Minimally Aggressive Surgical Intervention: Case Report

“…1 However, there have been a number of reported cases in which it was managed successfully with catheter drainage and minimally aggressive surgery. 9,10 This case report emphasizes the importance of considering necrotizing fasciitis as a possible complication of acute epiglottitis and the need to maintain a high index of suspicion during the early stages of diagnosis in an otherwise healthy patient with no history of immunocompromise. Minimally invasive percutaneous catheter insertion has resulted in successful management without any increase in morbidity or mortality.…”

Necrotizing Fasciitis of the Orbit Managed With Temporary Indwelling Retrobulbar Catheter

“…However, their cases were limited only to the eyelids and infection did not spread to the orbit. 8 Finally, the use of a catheter has been reported previously to treat cervical necrotizing fasciitis [9][10][11] nonoperatively. In these cases, patients underwent percutaneous catheter drainage of the infected space, but the catheters were not thereafter used for continued antibiotic delivery.…”

Descending necrotizing mediastinitis: 5 years of published data in Japan

“…This technique is superior in terms of pain control, prevention of protein leakage from the wound site, and less secondary infection by antibiotic‐resistant bacteria. Although some questioned the reliability diagnosing the CNF/DNM without surgical exploration and how the necrotic tissue is debrided with this less invasive technique, the mortality with their method is promising (0%) and 3.1% in our follow‐up report …”

Cervical Necrotizing Fasciitis as a Complication of Acute Epiglottitis Managed with Minimally Aggressive Surgical Intervention: Case Report

“…1 However, there have been a number of reported cases in which it was managed successfully with catheter drainage and minimally aggressive surgery. 9,10 This case report emphasizes the importance of considering necrotizing fasciitis as a possible complication of acute epiglottitis and the need to maintain a high index of suspicion during the early stages of diagnosis in an otherwise healthy patient with no history of immunocompromise. Minimally invasive percutaneous catheter insertion has resulted in successful management without any increase in morbidity or mortality.…”

Necrotizing Fasciitis of the Orbit Managed With Temporary Indwelling Retrobulbar Catheter

“…However, their cases were limited only to the eyelids and infection did not spread to the orbit. 8 Finally, the use of a catheter has been reported previously to treat cervical necrotizing fasciitis [9][10][11] nonoperatively. In these cases, patients underwent percutaneous catheter drainage of the infected space, but the catheters were not thereafter used for continued antibiotic delivery.…”

Descending necrotizing mediastinitis: 5 years of published data in Japan

“…This technique is superior in terms of pain control, prevention of protein leakage from the wound site, and less secondary infection by antibiotic‐resistant bacteria. Although some questioned the reliability diagnosing the CNF/DNM without surgical exploration and how the necrotic tissue is debrided with this less invasive technique, the mortality with their method is promising (0%) and 3.1% in our follow‐up report …”

Cervical Necrotizing Fasciitis as a Complication of Acute Epiglottitis Managed with Minimally Aggressive Surgical Intervention: Case Report

“…1 However, there have been a number of reported cases in which it was managed successfully with catheter drainage and minimally aggressive surgery. 9,10 This case report emphasizes the importance of considering necrotizing fasciitis as a possible complication of acute epiglottitis and the need to maintain a high index of suspicion during the early stages of diagnosis in an otherwise healthy patient with no history of immunocompromise. Minimally invasive percutaneous catheter insertion has resulted in successful management without any increase in morbidity or mortality.…”

Necrotizing Fasciitis of the Orbit Managed With Temporary Indwelling Retrobulbar Catheter

“…However, their cases were limited only to the eyelids and infection did not spread to the orbit. 8 Finally, the use of a catheter has been reported previously to treat cervical necrotizing fasciitis [9][10][11] nonoperatively. In these cases, patients underwent percutaneous catheter drainage of the infected space, but the catheters were not thereafter used for continued antibiotic delivery.…”