Craniocervical Necrotizing Fasciitis

Elizabeth M. Spankus, Paul W. Flint, Richard J.h. Smith, Robert H. Miller

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Craniocervical necrotizing fasciitis (CCNF) is a severe, progressive bacterial infection of the cervical fascia. The most significant manifestations of this disease are extensive fascial necrosis with widespread undermining of the surrounding tissues and extreme systemic toxicity. We are adding three cases to the 29 previously reported cases of CCNF. We will discuss the regional anatomy, focusing on the relationship of the cervical fascial planes to vital structures. Available data suggest that CCNF is a synergistic infection produced in most instances by a combination of facultative anaerobic and obligate anaerobic organisms. Although antimicrobial therapy should provide broad-spectrum activity against mixed flora, treatment also includes aggressive excision and debridement of involved fascia, subcutaneous tissue, and necrotic skin.

Original languageEnglish (US)
Pages (from-to)261-265
Number of pages5
JournalOtolaryngology-Head and Neck Surgery
Volume92
Issue number3
DOIs
StatePublished - Jun 1984

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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