Author/Authors :
Oluwafemi Adewale, Adesina Department of Consultant and Head, Department of Oral and Maxillofacial Surgery - Faculty of Dentistry - Lagos State University College of Medicine, Lagos State, Nigeria , Taofiq Olamide, Opaleye Department of Oral and Maxillofacial Surgery - Faculty of Dentistry - Lagos State University College of Medicine, Lagos State, Nigeria , Ajibola Yussuf, Salmai Department of Oral and Maxillofacial Surgery - Faculty of Dentistry - Lagos State University College of Medicine, Lagos State, Nigeria , Omobolaji Stephen, Idowu Department of Oral and Maxillofacial Surgery - Faculty of Dentistry - Lagos State University College of Medicine, Lagos State, Nigeria
Abstract :
Necrotizing fasciitis of the head and neck is a rare but rapidly
progressive infection involving the skin, subcutaneous tissue,
and fascia. We report 4 cases of cervicofacial necrotizing
fasciitis with similar patterns of presentation. All the 4 cases
presented with an odontogenic source and no underlying medical
condition. All the patients had tooth extraction and serial wound
debridement. Three of these patients recovered well, and healing
of the wound occurred by secondary intention. One patient had a
resultant neck defect, which was repaired with a supraclavicular
island flap after the infection had subsided. We advocate the
importance of early detection of necrotizing fasciitis with or
without an underlying medical condition and an aggressive
medical and surgical intervention. Additionally, eradication of
the source of infection is highly indicated to reduce the mortality
of this disease.
Keywords :
Neck , Fasciitis , necrotizing , Infection , Tooth
