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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Jpn J Oral Maxillofac Surg. When in doubt, a small incision can be made fadciitis the affected tissue, and if a finger easily separates the tissue along the fascial plane, the diagnosis fasciihis confirmed and an extensive debridement should be performed.

It is less common in the head and neck, especially in the face. The Cochrane Database of Systematic Reviews. Type II infection more commonly affects young, healthy adults with a history of injury.

Minor trauma triggering cervicofacial necrotizing fasciitis from odontogenic abscess

However, this is the only case of NF in the cervicofacial region that we were able to locate from the records of the last decade. Tissue cultures rather than wound swabs are taken to determine appropriate antibiotic coverage, and antibiotics may be changed in light of results. Necrotizing fasciitis can be partly prevented by good wound care and handwashing.


Imaging has a limited role in the diagnosis of necrotizing fasciitis.

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. Early symptoms of necrotizing fasciitis. Myonecrotic infections caused by these clostridial species commonly occur in injecting heroin users.

Archived from the original on 29 June A Devastating Complication of Blepharoplasty. From Wikipedia, the free encyclopedia.

Our website uses cookies to enhance your experience. Archived from the original on 18 July Sudden, spreads rapidly [3]. In the initial stages, before necrosis is seen, the infection spreads in the subcutaneous tissues and may appear as a routine odontogenic deep neck space cervicofaciql. Ferri’s Clinical Advisor E-Book: Marked crepitus was noted extending from the zygomatic region to the neck and upper chest. This was clearly demonstrated in study by Qazi et al.

Cervico-facial necrotizing fasciitis.

Archived cervicofacixl the original on Retrieved 10 Jan Get free cervicodacial to newly published articles. Subsequent culture from separate tissue samples sent after the repeated debridements grew Klebsiella sp. It uses six laboratory values: One study assessed the efficacy of a new type of treatment that affects the immune response, called AB A case of odontogenic cervical necrotizing fasciitis.

Prostaglandin has been responsible for fever, inflammation, and pain. Trauma has been implicated as a trigger in the extremities and the face but odontogenic infections head the list in the cervical region.


Necrotizing fasciitis NF of the face and neck is a very rare complication of dental infection.

Cases of odontogenic NF are very few as compared to odontogenic abscesses even at centers that deal with large numbers of dental infections. Clostridium sordellii can also produce two major toxins: Retrieved 28 May Several factors have been found to influence survival in NF.

A report of 11 cases. The patient was managed by immediate and repeated extensive debridements and split-skin grafting. Review of the literature and report of a case.

The overlying skin may appear shiny and tense. Fatal necrotizing fasciitis of dental origin.

Cervico-facial necrotizing fasciitis.

The first English description for necrotizing soft-tissue infection was by British surgeon Leonard Gillespie and British physicians Gilbert Blaine and Thomas Trotter in the 18th century. Adhesive capsulitis of shoulder Impingement syndrome Rotator cuff tear Golfer’s elbow Tennis elbow. The term “necrotizing fasciitis” was first coined by Wilson in Retrieved 10 May A retrospective analysis of 9 cases and a review of the literature.

Retrieved 13 August Cervical necrotizing fasciitis of odontogenic origin: Create a free personal account to access your subscriptions, sign up for alerts, and more. Purchase access Subscribe to the journal.