JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (3): 65-67.doi: 10.6040/j.issn.1673-3770.0.2015.305

Previous Articles     Next Articles

Diagnosis and treatment of cervical necrotizing fasciitis: a report of 7 cases and literature review.

CHEN Xiumei, SONG Xicheng   

  1. Department of Otolaryngology &Head and Neck Surgery, Yantai Yuhuangding Hospital, Medical College of Qingdao University, Yantai 264000, Shandong, China
  • Received:2015-07-23 Online:2016-06-16 Published:2016-06-16

Abstract: Objective To explore the clinical characteristic, diagnosis and treatment of cervical necrotizing fasciitis. Methods All 7 cases of cervical necrotizing fasciitis were diagnosed by CT and confirmed in operation. Of them, 2 underwent tracheotomy, neck incision and drainage operation, and the other 5 received neck incision and drainage operation. Postoperative flushing and anti-infection treatment were administered. Results Of all cases, 1 died and the other 6 were cured. During the follow-up of half a year, no relapse occurred. Conclusion For cervical necrotizing fasciitis cases, explorative operation should be timely applied. Incision and drainage of neck abscess can obtain a satisfactory effect and prevent serious complications.

Key words: Necrotizing fasciitis, Infection, Complications, Otolaryngology, Surgery

CLC Number: 

  • R686.3
[1] Skitarellic N, Mladina R, Morovic M, et al. Cervical necrotizing fasciitis: sources and outcomes[J]. Infection, 2003, 31(1):39-44.
[2] Wong C H, Wang Y S. The diagnosis of necrotizing fasciitis[J]. Curr Opin Infect Dis, 2005, 18(2):101-106.
[3] Hedge A, Mohan S, Lim W E. Infections of the deep neck paces[J]. Singapore Med J, 2012, 53(5):305-311.
[4] Leyva P, Herrero M, Eslava J M, et al. Cervical necrotizing fasciitis and diabetic ketocidosis: Literature review and case report[J]. Int J Oral Maxillofac Surg, 2013, 42(12):1592-1595.
[5] 展影, 夏爽, 祁吉. 颈深筋膜间隙感染的影像学诊断[J]. 实用放射学杂志, 2010, 26(6):800-804. ZHAN Ying, XIA Shuang, QI Ji. Imaging diagnosis in deep fascial space infections of neck[J]. J Pract Radiol, 2010, 26(6):800-804.
[6] 石嘉俪, 周佳青, 王家东, 等. 颈部坏死性筋膜炎伴下行性纵膈炎一例[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 12(47):1037-1038. SHI Jiali, ZHOU Jiaqing, WANG Jiadong, et al. Descending mediastinitis with cervical necrotizing fasciitis: a case report[J]. Chin J Otorhinolaryngol Head Neck Surg, 2012, 12(47):1037-1038.
[7] 万苡辰, 闫燕, 王丽, 等. 伴多项基础疾病的颈深部脓肿2例[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(19):906-907. WAN Yichen, YAN Yan, WANG Li, et al. Deep neck abscesses accompanied by multiple underlying diseases: 2 case reports[J]. J Clin Otorhinolaryngol Head Neck Surg, 2012, 26(19):906-907.
[8] 苏开明, 殷善开, 鲁文莺, 等. 颈部坏死性筋膜炎6例[J]. 山东大学耳鼻喉眼学报, 2007, 21(4):364-367. SU Kaiming, YIN Shankai, LU Wenying, et al. Cervical necrotizing nasciitis: a clinical report of 6 cases[J]. J Otolaryngol Ophthal Shandong Univ, 2007, 21(4):364-367.
[9] Cai X Y, Zhang W J, Zhang Z Y, et al. Cervical infection with descending mediastinitis: a review of six cases[J]. Int J Oral Maxillofac Surg, 2006, 35(11):1021-1025.
[10] Oguz H, Yilmaz M S. Diagnosis and management of necrotizing fasciitis of the head and neck[J]. Curr Infect Dis Rep, 2012, 14(2):161-165.
[1] ZHANG Ruxiang, TIAN Hao, MA Youxiang. Computed tomography assessment of skull base height before endoscopic sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 75-77.
[2] TIAN Zenghua. Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 86-89.
[3] SHEN Qinfeng, SHEN Xiaoyan, ZHU Rongqiang, JIANG Feifei, LANG Juntian. Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 82-85.
[4] SONG Xicheng. Application value of enhanced recovery after surgery in head and neck cancer surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 1-4.
[5] QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13-18.
[6] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[7] WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[8] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[9] WANG Li, ZHANG Yu, ZHANG Hua, LIU Xueyan, SONG Xicheng. Enhanced recovery after surgery in sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 23-26.
[10] WU Xifu, ZHANG Gehua. Assessment of the effectiveness of problem-based learning during the probation period of the otolaryngology head and [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 116-118.
[11] SUN Shujuan, SHI Lei, FAN Zhaomin, SHI Guanggang. Nasal related somatoform disorders [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 32-36.
[12] LI Houxiu, LIU Zhonghua, CHEN Zhi. Risk factors for rupture of the capsule membrane during phacoemulsification cataract surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 88-90.
[13] HUA Cheng, CHEN Zhenyu, ZHANG Weina, LI Na. Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 33-36.
[14] HUO Hong, LI Wuyi, WANG Jian, YANG Dahai, JIN Xiaofeng, TIAN Xu, NIU Yanyan.. Treatment of pharyngeal stenosis following uvulopalatopharyngoplasty with coblation. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 58-61.
[15] ZHOU Xueyi, LI Yiming, WANG Meiju, ZHANG Yuanyuan, ZHANG Lizhuo. Clinical observation of 25-gauge minimally invasive vitreous retinal surgery for treatment of rhegmatogenous retinal detachment. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 92-94.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] ZHAO Li-min, NI Kun, WU Jia-li, CHEN Shu-mei, LI Xiao-yan. Etiology and treatment of inspiratory laryngeal stridor in infants[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 49 -51 .
[2] SHI Chun-sheng1, ZHANG Qing-quan2, WANG Qiang2, SUN Yan2, GE Chang-yi1. Application of flaps in the reconstruction of soft palate defects[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 86 -88 .
[3] ZHANG Ling1, SUN Chuan-yi1, XU An-ting2. 1 case of petrous apex cholesteatoma deafness patients[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 93 -94 .
[4] . [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 1 -3 .
[5] LUO Hui-xiu, FAN Chun-tao, DENG Yan-hua. Therapeutic effects of adenoidectomy and tonsillectomy in children with obstructive sleep apnea hypopnea syndrome[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 17 -20 .
[6] HAO Ying-juan1, YANG Qing-song2, ZHOU Yue-hua2, YI Sheng-ping1, ZHAI Chang-bin2. Characteristics of thin corneal flaps created with Wavelight FS200 femtosecond laser[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 26 -31 .
[7] WEN Hua-ming1, LI Hai-xiang2. Application of trianglar function method to calculate intra ocular lens power after myopic laser in situ keratomileusis[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 74 -76 .
[8] ZHU Jian, HE Qing-qing, ZHENG Lu-ming, FAN Zi-yi, ZHAO Guo-wei, HOU Lei, SHI Hou-bin. Clinical analysis for 57 re-operational cases of differentiated thyroid cancer[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 9 -12 .
[9] LI Shao-hua, SUN Yi-fan, LU Biao-qing. Application of double vascularized soft tissue flap in open radical mastoidectomy[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 6 -7 .
[10] WEI Xi-jian1, YIN Rui-lan2, GUO Xing3. Expression of a proliferation-inducing ligand in laryngeal squamous cell carcinoma[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 14 -16 .