Department of Oral and Maxillofacial Surgery, Tehran University of Medical Sciences, School of Dentistry, Tehran, Iran.
J Craniofac Surg. 2020 Sep;31(6):e541-e542. doi: 10.1097/SCS.0000000000006471.
Cervical necrotizing fasciitis (CNF) is a rapid progressing and potentially fatal infection of connective tissues that spreads along the fascial planes. It commonly develops from odontogenic sources. In this article, the authors present a case of CNF which was developed after open reduction and internal fixation (ORIF) of a mandibular fracture.
A 19-year-old male patient with no past medical history was admitted due to a mandibular fracture. Following ORIF surgery, on third post-operative day, Physical examination revealed extensive cervical swelling extending from submandibular to suprasternal area, with tender and erythematous skin. Soon after confirmation of CNF diagnosis, surgical debridement and wide spectrum antibiotic therapy was performed. The residual soft tissue defect was reconstructed following infection subsidence.
Our study aims to highlight the risk of CNF development during postoperative period of a simple mandibular fracture ORIF surgery which is considered a routine maxillofacial procedure. Early detection and adequate emergency treatment including immediate surgical intervention are critical in the management of these patients.
颈坏死性筋膜炎（CNF）是一种沿着筋膜平面迅速扩散的潜在致命的结缔组织感染，通常由牙源性病原体引起。本文作者报告了一例 CNF 病例，该病例发生在下颌骨骨折的切开复位内固定（ORIF）术后。
一名 19 岁男性，无既往病史，因下颌骨骨折入院。ORIF 手术后第 3 天，体格检查发现颈广泛肿胀，从颏下延伸至胸骨上窝，皮肤触痛和红斑。在确诊 CNF 后，立即进行了手术清创和广谱抗生素治疗。感染消退后，对残留的软组织缺损进行了重建。
我们的研究旨在强调在简单的下颌骨 ORIF 手术后的术后期间发生 CNF 的风险，该手术被认为是一种常规的颌面手术。早期发现和充分的紧急治疗，包括立即手术干预，对这些患者的治疗至关重要。
