Case Report

Clinical Case: Necrotizing Fasciitis of the neck after surgery of a Mandibular Radicular Cyst

Egils Kornevs* and Normunds Bauers

Published: 24 November, 2017 | Volume 2 - Issue 4 | Pages: 110-117

Necrotizing fasciitis is a quickly progressing soft tissue infection that can be described with diffuse necrosis of subcutaneous tissue and superficial fascia. The cause of this can be infectious process of odontogenic origin, most commonly caused by mixed gram+ and gram- , aerobic and anaerobic microorganisms that are found in patients that are predisposed to infections. In a case of undiagnosed illness, there is a possibility of life threatening complications. This case analysis introduces the diagnostic criteria of the disease and treatment plan, encouraging doctors to devote more attention to prevention of infections. 

Read Full Article HTML DOI: 10.29328/journal.johcs.1001020 Cite this Article Read Full Article PDF


Odontogenic infection; Necrotizing fasciitis


  1. Tung-Yiu W, Jehn-Shyun H, Ching-Hung C, Hung-An C. Cervical necrotizing fasciitis of odontogenic origin: a report of 11 cases. J Oral Maxillofac Surg. 2000; 58: 1347-1352. Ref.: https://goo.gl/Cozer2
  2. Lin C, Yeh FL, Lin JT, Ma H, Hwang CH, et al. Necrotizing fasciitis of the head and neck: an analysis of 47 cases. Plast Reconstr Surg. 2001; 107: 1684-1693. Ref.: https://goo.gl/RCxmFH
  3. Schütz P, Joshi RM, Ibrahim HHH. Odontogenic necrotizing fasciitis of the neck and upper chest wall. J Oral Maxillofac Surg Med Pathol. 2012; 24: 32-35. Ref.: https://goo.gl/nHM883
  4. Lorenzini G, Picciotti M, Di Vece L, Emanuela P, Leopoldo B, et al. Cervical necrotizing fasciitis of odontogenic origin involving the temporal region-a case report. J Craniomaxillofac Surg. 2011; 39: 570-573. Ref.: https://goo.gl/RgKjjj
  5. Weiss A, Nelson P, Movahed R, Clarkson E, Harry Dym. Necrotizing fasciitis: review of the literature and case report. J Oral Maxillofac Surg. 2011; 69: 2786-2794. Ref.: https://goo.gl/vQjLJo
  6. Wilson B. Necrotizing fasciitis. Am Surg. 1952; 18: 416-431. Ref.: https://goo.gl/R14myA
  7. Hefny AF, Eid HO, Al-Hussona M, Idris KM, Abu-Zidan FM. Necrotizing fasciitis: a challenging diagnosis. Eur J Emerg Med. 2007; 14: 50-52. Ref.: https://goo.gl/nmQBxB
  8. Lee JW, Immerman SB, Morris LG. Techniques for early diagnosis and management of cervicofacial necrotising fasciitis. J Laryngol Otol. 2010; 124: 759-764. Ref.: https://goo.gl/dvfuyX
  9. Díaz Manzano JA, Cegarra Navarro MF, Medina Banegas A, López Meseguer E. Diagnostico y tratamiento de la fascitis necrotizantecervical. Evolucion tras una angina de Ludwig. An OtorrinolaringolIbero Am. 2006; 33: 317-322. Ref.: https://goo.gl/1tAwSd
  10. Lindner HH. The anatomy of the fasciae of the face and neck with particular reference to the spread and treatment of intraoral infections (Ludwig's) that have progressed into adjacent fascial spaces. Ann Surg. 1986; 204: 705-714. Ref.: https://goo.gl/zbu9w7
  11. Bono G, Argo A, Zerbo S, Triolo V, Procaccianti P. Cervical necrotizing fasciitis and descending necrotizing mediastinitis in a patient affected by neglected peritonsillar abscess: a case of medical negligence. J Forensic Leg Med. 2008; 15: 391-394. Ref.: https://goo.gl/jvZ4dN
  12. Thwaini A1, Khan A, Malik A, Cherian J, Barua J. Fournier's gangrene and its emergency management. Postgrad Med J. 2006; 82: 516-519. Ref.: https://goo.gl/LK5f3J
  13. On certain septicemias due to anaerobic organisms. Lancet. 1936; 1: 701-703. Ref.: https://goo.gl/53zhnQ
  14. Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC ( Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care med. 2004; 32: 1535-1541. Ref.: https://goo.gl/TjU8qm
  15. Becker M, Zbären P, Hermans R, Becker CD, Marchal F, et al. Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. Radiology. 1997; 202: 471-476. Ref.: https://goo.gl/se7jTx


Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Figure 1

Figure 4

Figure 1

Figure 5

Figure 1

Figure 6

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?