Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Cervical Necrotizing Fasciitis Caused by Dental Infection

  • Song, Chi-Woong (Department of Oral and Maxillofacial Surgery, The Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Yoon, Hyun-Joong (Department of Oral and Maxillofacial Surgery, The Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Jung, Da-Woon (Department of Oral and Maxillofacial Surgery, The Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Lee, Sang-Hwa (Department of Oral and Maxillofacial Surgery, The Catholic University of Korea, Yeouido St. Mary's Hospital)
  • Received : 2013.09.13
  • Accepted : 2014.03.14
  • Published : 2014.03.31
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Abstract

Necrotizing fasciitis (NF) is defined as rapidly progressive necrosis of subcutaneous fat and fascia. Although NF of the face is rare, its mortality rate is nearly 30%. It usually originates from dental infection and can lead to involvement of the neck, mediastinum, and chest wall. Complications resulting from pre-existing systemic diseases can increase the mortality rate. Known complication factors for NF include diabetes, malnutrition, advanced age, peripheral vascular disease, renal failure, and obesity. Here, we report a case of NF originating from dental infection in an 88-year-old woman already diagnosed with hypertension, thoracic aortic aneurysm, and renal diseases. Such conditions limited adequate surgical and antibiotic treatment. However, interdisciplinary treatment involving multiple departments was implemented with good results.

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References

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