Necrotizing fasciitis of the face

Maisie Shindo, Vincent P. Nalbone, William R. Dougherty

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Necrotizing fascitis (NF) is a rapidly progressive soft tissue infection with high morbidity and mortality rates. Its occurrence in the head and neck region is uncommon, the majority of reported cases being limited to involvement of the neck, usually from infections of dental or pharyngeal origin. Involvement of the face from NF is rare; only 35 such cases have been reported in the literature since 1960. It is not only associated with a high mortality but can also result in severe disfigurement of the face, posing challenging reconstructive problems. Successful management of facial NF requires early diagnosis, prompt institution of broad spectrum antibiotics, aggressive surgical debridement to control the infection, and reconstruction of the resultant soft tissue defects. This report describes four additional cases of facial necrotizing fascitis. One of the four patients died as a result of sepsis and multi-organ system failure. Two of the three surviving patients had significant facial disfigurement. A comprehensive review of the facial NF cases reported in the literature is also provided. Based on our experience with facial NF and the results of all previous case reports, the clinical manifestations, pathogenesis, and management of this disease are discussed.

Original languageEnglish (US)
Pages (from-to)1071-1079
Number of pages9
JournalLaryngoscope
Volume107
Issue number8
DOIs
StatePublished - Aug 1997
Externally publishedYes

Fingerprint

Necrotizing Fasciitis
Neck
Soft Tissue Infections
Mortality
Debridement
Infection Control
Disease Management
Early Diagnosis
Sepsis
Tooth
Head
Anti-Bacterial Agents
Morbidity
Infection

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Necrotizing fasciitis of the face. / Shindo, Maisie; Nalbone, Vincent P.; Dougherty, William R.

In: Laryngoscope, Vol. 107, No. 8, 08.1997, p. 1071-1079.

Research output: Contribution to journalArticle

Shindo, M, Nalbone, VP & Dougherty, WR 1997, 'Necrotizing fasciitis of the face', Laryngoscope, vol. 107, no. 8, pp. 1071-1079. https://doi.org/10.1097/00005537-199708000-00013
Shindo, Maisie ; Nalbone, Vincent P. ; Dougherty, William R. / Necrotizing fasciitis of the face. In: Laryngoscope. 1997 ; Vol. 107, No. 8. pp. 1071-1079.
@article{5b1afbdadbc94ff9b906dc53f8c4f3ac,
title = "Necrotizing fasciitis of the face",
abstract = "Necrotizing fascitis (NF) is a rapidly progressive soft tissue infection with high morbidity and mortality rates. Its occurrence in the head and neck region is uncommon, the majority of reported cases being limited to involvement of the neck, usually from infections of dental or pharyngeal origin. Involvement of the face from NF is rare; only 35 such cases have been reported in the literature since 1960. It is not only associated with a high mortality but can also result in severe disfigurement of the face, posing challenging reconstructive problems. Successful management of facial NF requires early diagnosis, prompt institution of broad spectrum antibiotics, aggressive surgical debridement to control the infection, and reconstruction of the resultant soft tissue defects. This report describes four additional cases of facial necrotizing fascitis. One of the four patients died as a result of sepsis and multi-organ system failure. Two of the three surviving patients had significant facial disfigurement. A comprehensive review of the facial NF cases reported in the literature is also provided. Based on our experience with facial NF and the results of all previous case reports, the clinical manifestations, pathogenesis, and management of this disease are discussed.",
author = "Maisie Shindo and Nalbone, {Vincent P.} and Dougherty, {William R.}",
year = "1997",
month = "8",
doi = "10.1097/00005537-199708000-00013",
language = "English (US)",
volume = "107",
pages = "1071--1079",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "8",

}

TY - JOUR

T1 - Necrotizing fasciitis of the face

AU - Shindo, Maisie

AU - Nalbone, Vincent P.

AU - Dougherty, William R.

PY - 1997/8

Y1 - 1997/8

N2 - Necrotizing fascitis (NF) is a rapidly progressive soft tissue infection with high morbidity and mortality rates. Its occurrence in the head and neck region is uncommon, the majority of reported cases being limited to involvement of the neck, usually from infections of dental or pharyngeal origin. Involvement of the face from NF is rare; only 35 such cases have been reported in the literature since 1960. It is not only associated with a high mortality but can also result in severe disfigurement of the face, posing challenging reconstructive problems. Successful management of facial NF requires early diagnosis, prompt institution of broad spectrum antibiotics, aggressive surgical debridement to control the infection, and reconstruction of the resultant soft tissue defects. This report describes four additional cases of facial necrotizing fascitis. One of the four patients died as a result of sepsis and multi-organ system failure. Two of the three surviving patients had significant facial disfigurement. A comprehensive review of the facial NF cases reported in the literature is also provided. Based on our experience with facial NF and the results of all previous case reports, the clinical manifestations, pathogenesis, and management of this disease are discussed.

AB - Necrotizing fascitis (NF) is a rapidly progressive soft tissue infection with high morbidity and mortality rates. Its occurrence in the head and neck region is uncommon, the majority of reported cases being limited to involvement of the neck, usually from infections of dental or pharyngeal origin. Involvement of the face from NF is rare; only 35 such cases have been reported in the literature since 1960. It is not only associated with a high mortality but can also result in severe disfigurement of the face, posing challenging reconstructive problems. Successful management of facial NF requires early diagnosis, prompt institution of broad spectrum antibiotics, aggressive surgical debridement to control the infection, and reconstruction of the resultant soft tissue defects. This report describes four additional cases of facial necrotizing fascitis. One of the four patients died as a result of sepsis and multi-organ system failure. Two of the three surviving patients had significant facial disfigurement. A comprehensive review of the facial NF cases reported in the literature is also provided. Based on our experience with facial NF and the results of all previous case reports, the clinical manifestations, pathogenesis, and management of this disease are discussed.

UR - http://www.scopus.com/inward/record.url?scp=0030738094&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030738094&partnerID=8YFLogxK

U2 - 10.1097/00005537-199708000-00013

DO - 10.1097/00005537-199708000-00013

M3 - Article

VL - 107

SP - 1071

EP - 1079

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 8

ER -