Manjunath K S, Bhandage Supriya, Kamat Shishir
Department of Oral and Maxillofacial Surgery, Sri Hasanamba Dental College and Hospital, Hassan, 573201 Karnataka India.
J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):352-4. doi: 10.1007/s12663-013-0590-8. Epub 2013 Sep 26.
Management of necrotizing fasciitis, a rare and potentially fatal, polymicrobial disease comprises of aggressive debridement, intravenous antibiotics and application of various adjunctives. So far adjunctives like hyperbaric oxygen therapy, intravenous immunoglobulins, vacuum assisted or foam dressing, and guided tissue regeneration with amniotic dressing have been put to use. Each of these adjunctives has faced criticism for their shortcomings. Potato peel has been used as a dressing for chronic wounds but there is no literature available on its application over wounds afflicted with necrotizing fasciitis. Owing to various medicinal properties of potato peel and its use as a dressing in other medical conditions, same was used as an adjunctive in the present case. Here we present a case of cervical necrotizing fasciitis of dentogenous origin, treated by mainstay surgical treatment with debridement, drainage in combination with broad spectrum antibiotics and a novel adjunctive, 'potato peel dressing', which has shown promising results.
坏死性筋膜炎是一种罕见且可能致命的多微生物疾病，其治疗包括积极清创、静脉使用抗生素以及应用各种辅助治疗手段。到目前为止，诸如高压氧治疗、静脉注射免疫球蛋白、负压辅助或泡沫敷料以及羊膜敷料引导组织再生等辅助治疗手段都已被应用。这些辅助治疗手段中的每一种都因其缺点而受到批评。土豆皮已被用作慢性伤口的敷料，但尚无关于其在坏死性筋膜炎伤口上应用的文献。由于土豆皮具有多种药用特性且在其他医疗状况中用作敷料，因此在本病例中被用作辅助治疗手段。在此，我们报告一例牙源性颈部坏死性筋膜炎病例，采用了以清创、引流为主的手术治疗，并联合使用广谱抗生素以及一种新型辅助手段——“土豆皮敷料”，结果显示前景良好。
