牙源性颈坏死性筋膜炎与高压氧治疗

Cervical Necrotizing Fasciitis of Odontogenic Origin and Hyperbaric Oxygen Therapy.

作者信息

Inan Caner Hakki, Yener Haydar Murat, Yilmaz Mehmet, Gözen Emine Deniz, Erdur Zülküf Burak, Oroğlu Bengüsu, Olcay Eren, Memmedova Nermin

机构信息

*Department of Otorhinolaryngology, Cerrahpasa Medical Faculty †Department of Undersea and Hyperbaric Medicine ‡Department of Plastic and Reconstructive, Surgery, Istanbul University, Istanbul, Turkey.

出版信息

J Craniofac Surg. 2017 Oct;28(7):e691-e692. doi: 10.1097/SCS.0000000000003842.

DOI:10.1097/SCS.0000000000003842

PMID:28857997

Abstract

Necrotizing fasciitis (NF) is an infection of the soft tissues pathology with high mortality that spreads through the fascial planes and rarely seen in head and neck region. The cause of infection is often odontogenic problems. Broad-spectrum antibiotics, surgical debridement, and hyperbaric oxygen therapy (HBO) are important for the treatment of disease. We report a case of cervical NF in a 33-year-old woman who was treated with rapid surgical debridement and simultaneous HBO.

摘要

坏死性筋膜炎（NF）是一种软组织病理学感染，死亡率高，可通过筋膜平面扩散，在头颈部区域很少见。感染原因通常是牙源性问题。广谱抗生素、手术清创和高压氧治疗（HBO）对该病的治疗很重要。我们报告一例33岁女性的颈部NF病例，该患者接受了快速手术清创和同步HBO治疗。