Case Report

Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: A case report

Saka S. Nugroho , Endang Syamsudin, Andri Hardianto, Lucky Riawan

Saka S. Nugroho
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia. Email: sakasetiononugroho@yahoo.co.id

Endang Syamsudin
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia

Andri Hardianto
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia

Lucky Riawan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia
Online First: April 01, 2017 | Cite this Article
Nugroho, S., Syamsudin, E., Hardianto, A., Riawan, L. 2017. Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: A case report. Journal of Dentomaxillofacial Science 0: 70-75. DOI:10.15562/jdmfs.v2i1.455


Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.

Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.

Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.

Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.

References

Stoneback JW, Hak DJ. Diagnosis and management of necrotizing fasciitis. Orthop J 2011;34: 196-202.

Mao JC, Carron MA, Fountain KR, et al. Craniocervical necrotizing fasciitis with and without thoracic extension : management strategies and outcome. Am J Otolaryngol 2009;30: 17-23.

Gaukroger MC. Cervicofacial necrotizing fasciitis. Br J Oral Maxillofacial Surgery. Infections of Soft Tissues of the Maxillofacial and Neck Regions. In Topazian RG et al. Editors. Oral and Maxillofacial Infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Krespi RP, Lawson W, Blaugrund SM, et al. Massive necrotizing infection of the neck, head neck surgery. In Topazian RG et al. Editors. Infections of soft tissues of the maxillofacial and neck regions. Oral and Maxillofacial Infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Rapoport Y, Himelfarb MZ, Zikk D, et al. Cervical necrotizing fasciitis of Odontogenic origin, Oral Surgery. In Topazian RG et al. Editors. Infections of soft tissues of the Maxillofacial and Neck Regions. Oral and Maxillofacial Infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Roser SM. Necrotizing fasciitis, J Oral Surgery. In Topazian RG et al. Editors. Infections of soft tissues of the Maxillofacial and Neck regions. Oral and Maxillofacial Infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Chidzonga MM. Necrotizing fasciitis of the cervical region an AIDS patient, J Oral Maxillofacial Surgery. In Topazian RG et al. Editors. Infections of soft tissues of the Maxillofacial and Neck regions. Oral and Maxillofacial Infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Andreasen TJ, Green SD, Childers BJ. Massive infectious soft tissue injury, diagnosis and management of necrotizing fasciitis and PurpuraFulminans, PlastReconstr Surgery. In Topazian RG et al. Editors. Infections of soft tissues of the Maxillofacial and Neck regions. Oral and Maxillofacial Infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Stamenkovic I. Early recognition of potentially fatal necrotizing fasciitis, N Engl J Med In Topazian RG et al. Editors. Infections of soft tissues of the Maxillofacial and Neck regions. Oral and Maxillofacial Infection. 4th Edition. Philadelphia: WB Saunders Company; 2002. p. 303-305.

Tovi F. Necrotizing soft tissue infection in the head and neck, Laryngoscope. In Topazian RG et al. Editors. Infections of soft tissues of the Maxillofacial and neck regions. Oral and Maxillofacial infection. 4th Ed. Philadelphia: WB Saunders Company; 2002. p. 303-305.


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