Jain Shraddha, Nagpure Prakash S, Singh Roohie, Garg Deepika
Department of Otorhinolaryngology and HNS, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Maharashtra, India.
J Emerg Trauma Shock. 2008 Jul;1(2):114-8. doi: 10.4103/0974-2700.43197.
Necrotizing fasciitis (NF) of the face and neck is a very rare complication of dental infection. Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential. Trauma has been reported to be an important predisposing factor for NF of the face. In this paper, we describe the presentation and treatment of a 62-year-old man who developed NF of the face and neck following bilateral odontogenic deep neck space abscesses. The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves. The organism isolated in culture from pus was Acinetobacter sp. The comorbid conditions in our patient were anemia and chronic alcoholism. The patient was managed by immediate and repeated extensive debridements and split-skin grafting.
面部和颈部坏死性筋膜炎（NF）是牙科感染非常罕见的并发症。耳鼻喉科医生和牙医应熟悉这种疾病，因为它在初始阶段与牙源性深部颈部间隙感染相似，传播迅速且有危及生命的可能。据报道，创伤是面部NF的一个重要诱发因素。在本文中，我们描述了一名62岁男性在双侧牙源性深部颈部间隙脓肿后发生面部和颈部NF的临床表现及治疗情况。在患者以敷用加热的药叶这种轻微创伤形式后，病情迅速进展，出现皮肤坏死。从脓液培养中分离出的病原体是不动杆菌属。我们患者的合并症是贫血和慢性酒精中毒。该患者通过立即并反复进行广泛清创和植皮进行治疗。
