2020International Journal of Surgery Case ReportsOpen access

Cervical necrotizing fasciitis by dental abscess treated with negative pressure wound therapy

Veronica L. Campana, Federico M. Braun, Carina Giuliani

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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.

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What this paper is about

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.

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Available 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.

Key concepts: Medicine, Fasciitis, Negative-pressure wound therapy, Debridement (dental), Surgical debridement, Surgery, Head and neck, Abscess

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