| The successful use of maggots in necrotizing fasciitis of the neck: a case report. | |
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MedLine Citation:
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PMID: 15287043 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Simon F Preuss; Mark J Stenzel; Anwar Esriti |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Head & neck Volume: 26 ISSN: 1043-3074 ISO Abbreviation: Head Neck Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-08-02 Completed Date: 2005-02-17 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8902541 Medline TA: Head Neck Country: United States |
Other Details:
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Languages: eng Pagination: 747-50 Citation Subset: IM |
Copyright Information:
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Copyright 2004 Wiley Periodicals, Inc. |
Affiliation:
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Department of Otorhinolaryngology Head and Neck Surgery, University Hospital Mainz, Langenbeckstr. 1, 55131 Mainz, Germany. simonpreuss@web.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Animals Carcinoma, Squamous Cell / surgery Debridement / methods* Diptera / enzymology, physiology* Drainage / methods Fasciitis, Necrotizing / etiology, therapy* Female Humans Larva Laser Therapy Neck / pathology* Neck Dissection / adverse effects* Surgical Wound Infection / complications Tongue Neoplasms / surgery |
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