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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 17, No. 2, 2010, pp. 51-55
Bioline Code: mj10021
Full paper language: English
Document type: Case Report
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 17, No. 2, 2010, pp. 51-55

 en Necrotizing Fasciitis of the Head and Neck: Surgical Outcomes in Three Cases
Shaariyah, Mohd Mokhtar; Marina, Mat Baki; Mohd Razif, Mohd Yunus; Mazita, Ami & Primuharsa Putra, Sabir Husin Athar

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.

Keywords
mastoidectomy, necrotizing fasciitis, otitis media, medical sciences

 
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Alternative site location: http://www.medic.usm.my/publication/mjms/

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