Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 2 Issue 11

Neck Necrotizing Fasciitis: Minimal Invasive Surgical Approach. A Case Report

Barbara Filosa*, Antonio Trusio and Giuseppe Malafronte

ENT Department, AORN S.G. MOSCATI, Avellino, Italy

*Corresponding Author: Barbara Filosa, ENT Department, AORN S.G. MOSCATI, Avellino, Italy.

Received: September 21, 2020; Published: October 27, 2020

×

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

×

Citation

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




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US