DOI QR코드

DOI QR Code

Application of radiographic images in diagnosis and treatment of deep neck infections with necrotizing fasciitis: a case report

  • Kim, Young-Joo (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Kim, Ju-Dong (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Ryu, Hye-In (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Cho, Yeon-Hee (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Kong, Jun-Ha (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Ohe, Joo-Young (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Choi, Byung-Joon (Department of Oral and Maxillofacial Surgery, Dental School, Kyung Hee University) ;
  • Kim, Gyu-Tae (Department of Oral and Maxillofacial Radiology, Dental School, Kyung Hee University)
  • Received : 2011.07.30
  • Accepted : 2011.08.30
  • Published : 2011.12.31

Abstract

The advent and wide use of antibiotics have decreased the incidence of deep neck infection. When a deep neck infection does occur, however, it can be the cause of significant morbidity and death, resulting in airway obstruction, mediastinitis, pericarditis, epidural abscesses, and major vessel erosion. In our clinic, a patient with diffuse chronic osteomyelitis of mandible and fascial space abscess and necrotic fasciitis due to odontogenic infection at the time of first visit came. We successfully treated the patient by early diagnosis using contrast-enhanced CT and follow up dressing through the appropriate use of radiographic images.

Keywords

References

  1. Wolf H, Rusan M, Lambertsen K, Ovesen T. Necrotizing fasciitis of the head and neck. Head Neck 2010; 32 : 1592-6. https://doi.org/10.1002/hed.21367
  2. Reynolds SC, Chow AW. Life-threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin North Am 2007; 21 : 557-76 https://doi.org/10.1016/j.idc.2007.03.002
  3. Zeitoun IM, Dhanarajani PJ. Cervical cellulitis and mediastinitis caused by odontogenic infections: report of two cases and review of literature. J Oral Maxillofac Surg1995; 53 : 203-8. https://doi.org/10.1016/0278-2391(95)90404-2
  4. Whitesides L, Cotto-Cumba C, Myers RA. Cervical necrotizing fasciitis of odontogenic origin: a case report and review of 12 cases. J Oral Maxillofac Surg 2000; 58 : 144-51. https://doi.org/10.1016/S0278-2391(00)90327-6
  5. Bahu SJ, Shibuya TY, Meleca RJ, Mathog RH, Yoo GH, Stachler RJ, et al. Craniocervical necrotizing fasciitis: an 11-year experience. Otolaryngol Head Neck Surg 2001; 125 : 245-52. https://doi.org/10.1067/mhn.2001.118182
  6. Sakaguchi M, Sato S, Ishiyama T, Katsuno S, Taguchi K. Characterization and management of deep neck infections. Int J Oral Maxillofac Surg 1997; 26 : 131-4.
  7. Bonapart IE, Stevens HP, Kerver AJ, Rietveld AP. Rare complications of an odontogenic abscess: mediastinitis, thoracic empyema and cardiac tamponade. J Oral Maxillofac Surg 1995; 53 : 610-3. https://doi.org/10.1016/0278-2391(95)90078-0
  8. Rosenthal M, Oreadi D, Kraus J, Bedi H, Stark PC, Shastri K. Comparison of preoperative computed tomography and surgical findings in maxillofacial infections. J Oral Maxillofac Surg 2011; 69 : 1651-6. https://doi.org/10.1016/j.joms.2010.07.034
  9. Hilbert G, Vargas F, Valentino R, Gruson D, Chene G, Bebear C, et al. Comparison of B-mode ultrasound and computed tomography in the diagnosis of maxillary sinusitis in mechanically ventilated patients. Crit Care Med 2001; 29 : 1337-42. https://doi.org/10.1097/00003246-200107000-00007
  10. Munoz A, Castillo M, Melchor MA, Gutierrez R. Acute neck infections: prospective comparison between CT and MRI in 47 patients. J Comput Assist Tomogr 2001; 25 : 733-41. https://doi.org/10.1097/00004728-200109000-00011
  11. Flynn TR. The swollen face. Severe odontogenic infections. Emerg Med Clin North Am 2000; 18 : 481-519. https://doi.org/10.1016/S0733-8627(05)70140-1
  12. Yonetsu K, Izumi M, Nakamura T. Deep facial infections of odontogenic origin: CT assessment of pathways of space involvement. AJNR Am J Neuroradiol 1998; 19 : 123-8.

Cited by

  1. Odontogenic necrotizing fasciitis: a systematic review of the literature vol.18, pp.1, 2011, https://doi.org/10.1186/s12901-018-0059-y