Cervical necrotizing fasciitis is a fast spreading acute soft tissue inflammation. Death can occur within 12–24 h. Early identification and treatment is needed. Citation: Lambade PN, Dolas RS, Virani N, Lambade DP () Cervicofacial Necrotising Fasciitis of Odontogenic Origin: A Review. Necrotizing fascitis is rapidly spreading soft tissue infection involving the subcutaneous tissues. Cervicofacial necrotizing fasciitis (CNF) is rare complication from.

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These genomic species are phenotypically very similar and are collectively known as the Acinetobacter calcoaceticus-A baumannii complex ACB complex with genomic species 1 A calcoaceticus. Acinetobacter infections are more common in tropical countries and the organism is a leading pathogen in wound infections during wars and natural disasters; it has also recently caused multihospital outbreaks in temperate climates.

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NF is very common in the elderly and in patients suffering from chronic debilitating illnesses such as diabetes, chronic renal failure, malignancy, chronic infections, intravenous drug abuse, and immunodeficiency conditions. Another bacterium associated with similar rapid disease progression is group A streptococcal infection mostly Streptococcus pyogenes.

This classification system was first described by Giuliano and his colleagues in Marked crepitus was noted extending from the zygomatic region to the neck and upper chest. The disease in the head and neck region can occur in two forms, behaving differently in different areas.

Necrotizing fasciitis affects about 0. Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient. Necrotizing fasciitis can occur at cervicofaxial part of the body, but it is more commonly seen at the extremities, perineumand genitals. CASE REPORT A year-old male presented to the otolaryngology department of our hospital with a day history of generalized dental pain and bilateral facial swelling, pain, cervicofaciall, and fever; these symptoms had begun 1 week after a toothache.


Craniocervical necrotizing fasciitis secondary to parotid gland abscess. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.

Cervico-facial necrotizing fasciitis.

Abstract Necrotizing fasciitis NF of the face and neck is a very cervickfacial complication of dental infection. The center is clearly getting darker red purple. Sometimes, colostomy may be necessary to divert the excretory products to keep the wound at the perineal area clean.

Necrotizing changes affecting the groin are known as Fournier gangrene. Ultrasound of the Week. There are at least 21 different Acinetobacter genospecies, nine of which have been given formal species names.

Gangrene Bacterial diseases Disorders of fascia Inflammations Bacterium-related fssciitis conditions Necrosis Rare diseases. Craniofacial necrotizing fasiitis secondary to sinusitis. Create a free personal account to download free article PDFs, sign up for alerts, and more. Necrotizing fasciitis of the pharynx following adenotonsillectomy. When in doubt, a small incision can be made into the affected tissue, and if a finger easily separates the tissue along the fascial plane, the diagnosis is confirmed and an extensive debridement should be performed.

In the series reported by Umeda and others, three clinical factors were found to affect mortality: The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves. Subsequent cultures were more variable and showed predominantly gram-negative organisms and methicillin-resistant S aureus. Regular dressings with acriflavine-soaked necrotozing were done till the wound bed was judged to be adequate for skin faeciitis [ Figure 5 ].


Imaging has a limited role in the diagnosis of necrotizing fasciitis. The latter type classically involves the neck, and the majority of cases follow dental or oropharyngeal infection.

When alpha-toxin is absorbed by soft tissues, it can inhibit the migration of white blood cells from blood vessels into the soft tissuethus xervicofacial phagocyte function.

Review of the literature and report of a case.

Various scoring systems are being developed to determine the likelihood of getting necrotizing fasciitis, but a scoring system developed by Wong and colleagues in is the most commonly used. The two toxins together can cause destruction of red blood cells in blood vesselsdamage to the integrity of the blood vessels, and suppression of heart function.

A Devastating Complication of Blepharoplasty. Support Center Support Center. Sign in to access your subscriptions Sign in to your personal account. Wound carehandwashing [3]. Subsequent culture from different tissue samples sent during the repeated debridements grew Klebsiella sp.

Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential.