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负压伤口治疗术治疗牙源性脓肿所致颈部坏死性筋膜炎:病例报告

Cervical necrotizing fasciitis by dental abscess treated with negative pressure wound therapy: Case report.

作者信息

Campana Veronica L, Braun Federico M, Giuliani Carina

机构信息

Department of Maxillofacial Surgery Clinica de Imagenes, Neuquen City, Argentina.

Department of Maxillofacial Surgery of Pedro Moguillansky Hospital, Cipoletti, Rio Negro, Argentina.

出版信息

Int J Surg Case Rep. 2020;77:795-798. doi: 10.1016/j.ijscr.2020.10.121. Epub 2020 Nov 27.

Abstract

Necrotizing fasciitis is a severe soft tissue infection very uncommon in head and neck. This infection could be very aggressive involving subcutaneous tissue and fascial planes and can be rapidly fatal. Negative pressure wound therapy (NPWT) has emerge recently and became very popular in treating complicated wounds. A case of necrotizing fasciitis in cervical region from an odontogenic infection is presented. After surgical debridement, a NPWT device was installed. NPWT provides advantages compared to conventional debridement and drainage. This method is recommended as an alternative in treating necrotizing fasciitis in head and neck, because it eradicates infection and provides comfort to the patient.

摘要

坏死性筋膜炎是一种严重的软组织感染,在头颈部非常罕见。这种感染极具侵袭性,可累及皮下组织和筋膜平面,且可能迅速致命。负压伤口治疗(NPWT)最近出现并在治疗复杂伤口方面变得非常流行。本文介绍了一例由牙源性感染引起的颈部坏死性筋膜炎病例。手术清创后,安装了NPWT装置。与传统的清创和引流相比,NPWT具有优势。该方法被推荐作为治疗头颈部坏死性筋膜炎的一种替代方法,因为它能根除感染并为患者提供舒适感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/7718123/54ae246299f0/gr1.jpg

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