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牙源性颈坏死性筋膜炎

Cervical necrotizing fasciitis of odontogenic origin.

作者信息

Rapoport Y, Himelfarb M Z, Zikk D, Bloom J

机构信息

Department of Otorhinolaryngology, Tel Aviv Scurasky Medical Center, Ichilov Hospital, Sackler Faculty of Medicine, Tel Aviv University, Israel.

出版信息

Oral Surg Oral Med Oral Pathol. 1991 Jul;72(1):15-8. doi: 10.1016/0030-4220(91)90181-b.

DOI:10.1016/0030-4220(91)90181-b
PMID:1891237
Abstract

Necrotizing fasciitis is a severe soft tissue infection caused by both aerobic and anaerobic bacteria and is characterized by a rapid extension along fascial planes and by necrosis of soft tissues. The disease rarely occurs in the head and neck. Three cases of necrotizing fasciitis of the neck after a dental infection are presented. The difficulty in diagnosing the early stage of this condition in relation to other soft tissue infections of odontogenic origin in the neck is discussed. The importance of an early diagnosis followed by an appropriate combination of medical, surgical, and dental treatment is emphasized.

摘要

坏死性筋膜炎是一种由需氧菌和厌氧菌引起的严重软组织感染,其特征是沿筋膜平面迅速蔓延以及软组织坏死。该疾病很少发生在头颈部。本文介绍了3例牙科感染后颈部坏死性筋膜炎的病例。讨论了在诊断该疾病早期阶段与颈部其他牙源性软组织感染相关的困难。强调了早期诊断并随后进行适当的药物、手术和牙科治疗相结合的重要性。

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