Cervical necrotizing fasciitis

Robert H. Maisel, Richard Karlen

Research output: Contribution to journalArticlepeer-review

65 Scopus citations

Abstract

Nine cases of cervical necrotizing faciitis are presented. Five were odontogenic, three were pharyngeal in origin, and one developed from a soft-tissue spider bite. The bacteriology represented a polyculture of gram-positive, gram-negative, as well as anaerobic bacteria, and initial medical treatment by third-generation cephalosporin and metronidazole or clindamycin was successful and is recommended. Airway control is necessary early, as is a wide exploration of the fascial spaces of the neck, with frequent reexploration in either the operating room or at the bedside to evaluate the effects of treatment and to prevent further progression of the disease. Intensive medical support is crucial, and hyperbaric oxygen is advised for patients who are deteriorating under standard therapy.

Original languageEnglish (US)
Pages (from-to)795-798
Number of pages4
JournalLaryngoscope
Volume104
Issue number7
DOIs
StatePublished - Jul 1994

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