Necrotizing fasciitis of the head and neck

Surgical outcomes in three cases

Mohd Mokhtar Shaariyah, Marina Mat Baki, Mohd. Razif Mohamad Yunus, Ami Mazita, Sabir Husin Athar Primuharsa Putra

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Necrotizing fasciitis of the head and neck is a rare, rapidly progressive infection involving the skin, subcutaneous tissue and fascia. We report three cases of necrotizing fasciitis that differ in their presentation and outcome. The first case involves a patient who presented with progressively enlarging anterior neck swelling that was later complicated by dehydration and reduced consciousness. The second case is a patient with neck swelling and ipsilateral otorrhea. The third case concerns a patient with a buccal ulcer complicated by ipsilateral facial swelling. All of them underwent a fasciotomy with wound debridement with the addition of a cortical mastoidectomy in the second case. Two of these patients recovered well. Unfortunately, the third case succumbed to death due to airway compromise and septicaemia. We advocate the importance of eradicating the source of infection followed by frequent, meticulous wound dressing and strict blood sugar control to obtain better outcomes in managing necrotizing fasciitis of the head and neck. However, involvement of the airway carries a grave prognosis despite aggressive treatment.

Original languageEnglish
Pages (from-to)51-55
Number of pages5
JournalMalaysian Journal of Medical Sciences
Volume17
Issue number2
Publication statusPublished - Apr 2010

Fingerprint

Necrotizing Fasciitis
Neck
Head
Cheek
Fascia
Subcutaneous Tissue
Wounds and Injuries
Debridement
Bandages
Infection
Consciousness
Dehydration
Ulcer
Blood Glucose
Sepsis
Skin
Therapeutics

Keywords

  • Mastoidectomy
  • Medical sciences
  • Necrotizing fasciitis
  • Otitis media

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Necrotizing fasciitis of the head and neck : Surgical outcomes in three cases. / Shaariyah, Mohd Mokhtar; Mat Baki, Marina; Mohamad Yunus, Mohd. Razif; Mazita, Ami; Putra, Sabir Husin Athar Primuharsa.

In: Malaysian Journal of Medical Sciences, Vol. 17, No. 2, 04.2010, p. 51-55.

Research output: Contribution to journalArticle

Shaariyah, Mohd Mokhtar ; Mat Baki, Marina ; Mohamad Yunus, Mohd. Razif ; Mazita, Ami ; Putra, Sabir Husin Athar Primuharsa. / Necrotizing fasciitis of the head and neck : Surgical outcomes in three cases. In: Malaysian Journal of Medical Sciences. 2010 ; Vol. 17, No. 2. pp. 51-55.
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