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Baba Farid University Dental Journal
Year : 2012, Volume : 3, Issue : 1
First page : ( 88) Last page : ( 92)
Print ISSN : 0976-8181. Online ISSN : 2230-7273.

Minor Trauma Triggering Cervicofacial Necrotizing Fasciitis

Walia Inderdeep, Assistant Professor, Bhatia Lovleen, Senior Lecturer, Walia Gurpreet, Senior Lecturer, Judge Arpanbir, Senior Lecturer

Address for Correspondence: Dr. Arpanbir Singh Judge, Senior Lecturer Department of Oral Medicine & Radiology Bhojia Dental College &Hospital Baddi, Distt. Solan, Himachal Pradesh, India. E-mail: waliainderdeep@yahoo.com

Online published on 1 May, 2012.

Abstract

Necrotizing fasciitis (NF) of the face and neck is a very rare complication of dental infection. Otolaryngologists and dentists should be familiar with this condition because of its similarity to odontogenic deep neck space infection in the initial stages, its rapid spread, and its life-threatening potential. Trauma has been reported to be an important predisposing factor for NF of the face. In this paper, we describe the presentation and treatment of a 62-year-old man who developed NF of the face and neck following bilateral odontogenic deep neck space abscesses. The disease progressed rapidly, with necrosis of the skin, after the patient inflicted minor trauma in the form of application of heated medicinal leaves. The co morbid conditions in our patient were anemia and chronic alcoholism. The patient was managed by immediate and repeated extensive debridements and split-skin grafting.

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Keywords

Face, fasciitis, necrotizing, tooth diseases/complications, trauma.

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