Necrotizing fasciitis of the head and neck
| Autor: | Therese Ovesen, Henning Wolf, Karin Lambertsen, Maria Rusan |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Erythema Hemodynamics Young Adult medicine Humans Fasciitis Necrotizing Young adult Fasciitis Aged Aged 80 and over business.industry Soft tissue Middle Aged Prognosis medicine.disease Connective tissue disease Surgery Regimen Otorhinolaryngology Female Presentation (obstetrics) medicine.symptom business Head Neck |
| Zdroj: | Wolf, H, Rusan, M, Lambertsen, K & Ovesen, T 2010, ' Necrotizing fasciitis of the head and neck ', Head & Neck (Print Edition), vol. 32, no. 12, pp. 1592-6 . https://doi.org/10.1002/hed.21367 |
| ISSN: | 1043-3074 |
| DOI: | 10.1002/hed.21367 |
| Popis: | Background. Necrotizing fasciitis of the head and neck is a rapidly progressing and life-threatening condi- tion. The purpose of this study was to describe the patients with a focus on clinical presentation, microbiology, treatment, and prognosis. Patients and Results. Seventeen patients (10 men; median age, 54 years) were included. Nine patients underwent minor head and neck surgery immediately prior to necrotizing fasciitis. The typ- ical course was a quickly spreading erythema, pronounced tender- ness, and severe pain. Imaging demonstrated diffuse swelling of the soft tissue, poorly differentiated dilated fat layers, and subcuta- neous gas. All patients underwent surgical debridement within 2 days, and received broad-spectrum antibiotics and hemodynamic support, hyperbaric oxygen, and immunoglobulin. All patients sur- vived, although 12 of 17 suffered sequelae. Conclusions. Early diagnosis is of utmost importance. Quickly spreading erythema and extreme pain in the affected area serve as red flags. With the current intensive multimodal- ity regimen, the mortality was zero, although 70% suffered sequelae. V C 2010 Wiley Periodicals, Inc. Head Neck 32: 1592-1596, 2010 |
| Databáze: | OpenAIRE |
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