[颈部后侧坏死性筋膜炎。头颈部蜂窝织炎的一种罕见临床形式：来自多哥的一例病例报告]

[Necrotizing fasciitis of the posterior neck. A rare clinical form of head and neck cellulitis: a case report from Togo].

作者信息

Bissa Haréfétéguéna, Amana Essobiziou, Amegble Koffi Dzidzo Jude, Reoulembaye Djim Hervey, Foma Winga

机构信息

Service de chirurgie maxillo-faciale, Centre hospitalier universitaire d'Aneho, Togo.

Service d'oto-rhino-laryngologie et chirurgie maxillo-faciale, Centre hospitalier universitaire Sylvanus Olympio de Lomé, Togo.

出版信息

Med Trop Sante Int. 2023 Apr 18;3(2). doi: 10.48327/mtsi.v3i2.2023.303. eCollection 2023 Jun 30.

DOI:10.48327/mtsi.v3i2.2023.303

PMID:37525679

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10387305/

Abstract

We report the case of a 75-year-old diabetic patient who presented with posterior cervical necrotizing fasciitis complicating cellulitis. Medical management in intensive care and surgical drainage were undertaken; sequential excision of the necrotic tissue left a large loss of substance of the nuchal region for which we opted for directed healing in the first instance. The definitive coverage of this loss of substance by locoregional rotation flap or by thin skin grafting was discussed. However, it was refused by the patient.

摘要

我们报告了一例75岁的糖尿病患者，该患者出现了颈后部坏死性筋膜炎并发蜂窝织炎。在重症监护室进行了药物治疗并进行了手术引流；对坏死组织进行了序贯切除，导致颈部区域大量组织缺损，对此我们首先选择了定向愈合。讨论了通过局部旋转皮瓣或薄皮移植对该组织缺损进行最终覆盖的方法。然而，患者拒绝了。