American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 1 , Pages 17-23 , January 2009

Craniocervical necrotizing fasciitis with and without thoracic extension: management strategies and outcome

  • Johnny C. Mao, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, 5E-UHC, Detroit, MI 48201, USA. Tel.: +1 313 577 0804.
    • ,
  • Michael A. Carron, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI
    • ,
  • Kimberly R. Fountain, DO

      Affiliations

    • POH Regional Medical Center, Pontiac, MI
    • ,
  • Robert J. Stachler, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI
    • ,
  • George H. Yoo, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI
    • ,
  • Robert H. Mathog, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI
    • ,
  • James M. Coticchia, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI

Received 17 October 2007

References 

  1. Stone H, Martin J. Synergistic necrotizing cellulitis. Ann Surg. 1972;175:702–711
  2. Balcerak R, Sisto J, Bosack R. Cervicofacial necrotizing fasciitis: report of three cases and literature review. J Oral Maxillofac Surg. 1988;46:450–459
  3. Langford F, Moon R, Stolp B, et al. Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy. Otolaryngol Head Neck Surg. 1995;112:274–278
  4. Rudek W, Haque R. Extracellular enzymes of the genus Bacteroides. J Clin Microbiol. 1976;4:458–460
  5. Rapoport Y, Himelfarb M, Zikk D, et al. Cervical necrotizing fasciitis of odontogenic origin. Oral Surg Oral Med Oral Path. 1991;72:15–18
  6. Gozal D, Ziser A, Shupak A, et al. Necrotizing fasciitis. Arch Surg. 1986;121:233–235
  7. Wilson B. Necrotizing fasciitis. Ann Surg. 1952;18:416–431
  8. Levitt G. Cervical fascia and deep neck infections. Laryngoscope. 1968;78:409–435
  9. Kantu S, Har-El G. Cervical necrotizing fasciitis. Ann Otol Rhinol Laryngol. 1997;106:965–970
  10. Bahu S, Shibuya T, Meleca R, et al. Craniocervical necrotizing fasciitis: an 11-year experience. Otolaryngol Head Neck Surg. 2001;125:245–252
  11. Reed J, Anand V. Odontogenic cervical necrotizing fasciitis with intrathoracic extension. Otolaryngol Head Neck Surg. 1992;107:596–600
  12. Lalwani A, Kaplan M. Mediastinal and thoracic complications of necrotizing fasciitis of the head and neck. Head Neck. 1991;13:531–539
  13. Jackson MA, Colombo J, Boldrey A. Streptococcal fasciitis with toxic shock syndrome in the pediatric patient. Orthop Nurs. 2003;22(1):4–8
  14. Becker M, Zbaren P, Hermans R, et al. Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. Radiology. 1997;203:859–863
  15. Nallathambi MN, Ivatury RR, Rohman M, et al. Craniocervical necrotizing fasciitis: critical factors in management. Can J Surg. 1987;30(1):61–63
  16. Korhonen K, Kuttila K, Niinikoski J. Tissue gas tensions in patients with necrotizing fasciitis and healthy controls during treatment with hyperbaric oxygen: a clinical study. Eur J Surg. 2000;166(7):530–534
  17. Hohn D, MacKay R, Halliday B, et al. Effect of O2 tension on microbacteriocidal function of leukocytes in wound and in vitro. Surg Forum. 1976;27:18–20
  18. Knighton D, Halliday B, Hunt T. Oxygen as an antibiotic. Arch Surg. 1984;119:199–204
  19. Kindwall E, Gottlieb L, Larson D. Hyperbaric oxygen therapy in plastic surgery. Plast Reconstr Surg. 1991;88:898–908
  20. Mader J, Adams K, Sutton T. Infectious diseases: pathophysiology and mechanisms of hyperbaric oxygen. J Hyperbaric Med. 1987;2:133–140

☆ Paper was presented at the Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery, Washington, DC, September 16–19, 2007.

PII: S0196-0709(08)00009-4

doi: 10.1016/j.amjoto.2007.12.007

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 1 , Pages 17-23 , January 2009

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