Document Detail

Necrotizing fasciitis caused by dental infection: a retrospective analysis of 9 cases and a review of the literature.
MedLine Citation:
PMID:  12627098     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Necrotizing fasciitis of the head and neck is an uncommon, potentially fatal soft tissue infection characterized by extensive necrosis and gas formation in the subcutaneous tissue and fascia. The aims of this study were to describe the condition of this rare disease and to find factors affecting the mortality. STUDY DESIGN: Nine of our new cases and 125 reported cases in the English-language literature with necrotizing fasciitis of dental origin were reviewed. RESULTS: Two of our 9 patients had some form of systemic disease such as diabetes, cardiac insufficiency, renal failure, or cerebral infarction, whereas the other 7 had no particular general complications. A computed tomography examination was useful for detecting gas formation in the deep neck. All 9 patients underwent extensive debridement within 24 hours, and good results were obtained. In contrast, 24 of the 125 reviewed patients died despite therapy. Factors affecting the mortality were associated diseases such as diabetes or alcohol abuse, delay of surgery, and the complication mediastinitis. CONCLUSION: Necrotizing fasciitis is still a potentially fatal disease. Early and aggressive debridement may reduce mortality.
Masahiro Umeda; Tsutomu Minamikawa; Hideki Komatsubara; Yasuyuki Shibuya; Satoshi Yokoo; Takahide Komori
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics     Volume:  95     ISSN:  1079-2104     ISO Abbreviation:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-10     Completed Date:  2003-07-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9508562     Medline TA:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  283-90     Citation Subset:  D; IM    
Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kobe University.
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MeSH Terms
Aged, 80 and over
C-Reactive Protein / analysis
Fasciitis, Necrotizing / blood,  etiology*,  radiography,  surgery
Focal Infection, Dental / complications*
Middle Aged
Neck* / radiography,  surgery
Tomography, X-Ray Computed
Reg. No./Substance:
9007-41-4/C-Reactive Protein

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