Sepúlveda A, Sastre N
Department of Surgery, Instituto Mexicano del Seguro Social, Guasave, Sinaloa, México.
Plast Reconstr Surg. 1998 Sep;102(3):814-7. doi: 10.1097/00006534-199809030-00028.
Necrotizing fasciitis is a rare infection in the surgical and infectious medical services, but when it is present, in most cases, the affected areas are the lower extremities and the abdominal and thoracic walls, and more frequently in perineum and genital areas, which is commonly known as Fournier's gangrene. This type of infection is extremely rare in the face and neck, because the great vascularity in these regions makes the tissues rarely susceptible to ischemia and infection, even when large flaps are lifted in reconstructive and aesthetic procedures. We present a case of necrotizing fasciitis in face and neck, with emphasis on the medical and surgical treatment that should be based on antibiotic therapy of broad spectrum; secondary reconstructive procedures should be planned.
坏死性筋膜炎在外科和感染性医疗服务中是一种罕见的感染，但一旦发生，在大多数情况下，受影响的部位是下肢以及腹壁和胸壁，更常见于会阴和生殖器区域，这通常被称为福尼尔坏疽。这种感染在面部和颈部极为罕见，因为这些区域丰富的血管使得组织很少易患缺血和感染，即使在重建和美容手术中掀起大的皮瓣时也是如此。我们报告一例面部和颈部坏死性筋膜炎病例，重点介绍应基于广谱抗生素治疗的内科和外科治疗；应规划二期重建手术。
