Abstract

Introduction: The necrotizing neck fasciitis (NNF) is a serious and potentially lethal infection of the soft tissue of the neck characterized by a rapid diffusion along the fascia colli with possible extension to the mediastinum. It has a rapid onset due to odontogenic, tonsillary/peritonsillar or salivary gland infections. Early diagnosis and timely treatment are essential to avoid the extent of the infection to the chest with serious and lethal complications.

Case Summary: We report the case of a 78-year-old woman with a necrotizing neck fasciitis from an odontogenic abscess origin diagnosed at onset. The patient after a sub-mandibular small incision through which hydrogen peroxide was daily instilled and aggressive intravenous antibiotic therapy, has had a rapid clinical improvement until complete healing.

Discussion: Despite in literature an aggressive surgical approach has been validated as the therapy of choice of NNF, in the reported case we performed only a small neck incision at the crackling gaseous area through which hydrogen peroxide was daily instilled in association with board spectrum intravenous antibiotic therapy and hyperbaric oxygen therapy. The clinical conditions of the patient quickly improved. In our opinion this type of treatment has been successful because we made a very early diagnosis. The necrotizing neck fasciitis is a life-threatening disease. Early diagnosis and timely treatment can allow rapid clinical recovery with a less invasive surgical approach.

Keywords: Necrotizing Neck Fasciitis; Cervical Fasciitis; Cervicotomy; Cervical Deep Infections

References

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Citation

Citation: Barbara Filosa., et al. “Neck Necrotizing Fasciitis: Minimal Invasive Surgical Approach. A Case Report". Acta Scientific Otolaryngology 2.11 (2020): 26-28.

Copyright

Copyright: © 2020 Barbara Filosa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.