Document Detail

The successful use of maggots in necrotizing fasciitis of the neck: a case report.
MedLine Citation:
PMID:  15287043     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of maggots to digest necrotic tissue as a form of wound debridement has a long history in medicine. Necrotizing fasciitis of the neck has a high mortality rate despite aggressive surgical and medical intervention. The use of maggots in this disease has been reported only once before. METHODS: We report the case of a 73-year-old woman, who underwent neck dissection and had necrotizing fasciitis of the neck develop shortly after. After initial surgical wound debridement, we used maggots as a biosurgical method for further debridement. A net containing 100 maggots (Biobag; BioMonde, Germany) was used. RESULTS: Daily wound dressing showed rapid improvement of the wound; 4 days after beginning treatment, the wound was free of necroses. CONCLUSION: In this case, we could avoid repeated surgical wound debridement with the use of sterile maggots. The frequently rapid progression of necrotizing fasciitis could be well controlled.
Simon F Preuss; Mark J Stenzel; Anwar Esriti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  26     ISSN:  1043-3074     ISO Abbreviation:  Head Neck     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-08-02     Completed Date:  2005-02-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  747-50     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Wiley Periodicals, Inc.
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.
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MeSH Terms
Carcinoma, Squamous Cell / surgery
Debridement / methods*
Diptera / enzymology,  physiology*
Drainage / methods
Fasciitis, Necrotizing / etiology,  therapy*
Laser Therapy
Neck / pathology*
Neck Dissection / adverse effects*
Surgical Wound Infection / complications
Tongue Neoplasms / surgery

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