Ramaraj P N, Cariappa K M
Oral & Maxillofacial Surgery, Collage of Dental Surgery Kasturba Medical Collage, Manipal.
Indian J Otolaryngol Head Neck Surg. 2006 Apr;58(2):187-9. doi: 10.1007/BF03050785.
A small but nevertheless important part of a surgeons experience comprises necrotizing soft tissue infections of the head and neck. These infections are characterized by their fulminating, devastating, and rapid-progressing course resulting in extensive necrosis of fascia, subcutaneous tissues, skin and muscle. Although necrotizing facilities is a more frequently used terminology, the authors prefer to use the term necrotizing soft tissue infection to describe this potentially fatal condition. A case of cervical necrotizing soft tissue infection of dental origin is reported here. The purpose of this report is to heighten awareness of necrotizing soft tissue infections in any patient with an infection of the neck. The article also outlines an appropriate management strategy for use in such patients with emphasis on prompt diagnosis and early radical surgical debridement.
外科医生的经验中,有一小部分但却很重要,包括头颈部坏死性软组织感染。这些感染的特点是发展迅猛、破坏力强且进展迅速,会导致筋膜、皮下组织、皮肤和肌肉广泛坏死。尽管“坏死性筋膜炎”是更常用的术语,但作者更倾向于使用“坏死性软组织感染”来描述这种潜在致命的病症。本文报告了一例源自牙齿的颈部坏死性软组织感染病例。本报告的目的是提高对任何颈部感染患者中坏死性软组织感染的认识。本文还概述了适用于此类患者的管理策略,重点是及时诊断和早期彻底手术清创。