Necrotizing fasciitis of the neck: considerations about two cases

Necrotizing fasciitis of the neck: considerations about two cases

Authors

  • Davide Giordano Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS
  • Carmine Pernice Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS
  • Corrado Pedroni Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS
  • Verter Barbieri Otolaryngology Unit, Department of Surgery, Arcispedale Santa Maria Nuova-IRCCS

Keywords:

necrotizing fasciitis, deep neck infections, streptococcus, surgical debridement.

Abstract

Background and Aim: Necrotizing fasciitis is a rapidly progressing life-threatening infection of the deep fat and fascial layers which rarely occurs in the neck. The aim of the paper is to report the management of this rare condition pointing out the role of multimodality in achieving the cure of the patient.

Methods: we report our experience regarding management of two cases of necrotising fasciitis of the neck successfully treated with medical and surgical therapy.

Discussion: Early diagnosis of necrotizing fasciitis of the neck plays a central role in preventing progression of the disease. Multimodal treatment should be mandatory. Conclusions: Immediate aggressive surgical debridement, securing of the airway, and anti-bacterial agents represent the only effective treatment in preventing progression of the disease. Intensive care support should be considered integral part of treatment.

Downloads

Published

09-05-2014

How to Cite

1.
Necrotizing fasciitis of the neck: considerations about two cases. Acta Biomed [Internet]. 2014 May 9 [cited 2024 Jun. 24];85(1):52-6. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/2832