Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (4): 12-16.doi: 10.6040/j.issn.1673-3770.0.2020.403

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Three cases of diagnosis and treatment of cervical necrotizing fasciitis with a primary diagnosis of acute epiglottitis

ZHAO Yaming, SHI Song   

  1. Department of Otolaryngology, Tong Ren Hospital Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China
  • Published:2021-08-05

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Abstract: Objective To investigate the relationship between acute epiglottitis and cervical necrotizing fasciitis and its’ clinical course. Methods A retrospective analysis of the clinical data of 3 cases of cervical necrotizing fasciitis with acute epiglottitis as the primary diagnosis. The correlation, diagnosis, and treatment of acute epiglottitisand cervical necrotizing fasciitis were analyzed. Results Three patients underwentsurgery after a definite diagnosis by neck CT.(1fatality and 2recoveries). Conclusion The possibility of cervical necrotizing fasciitis should be considered inpatients with acute epiglottitis who fail to respond to active anti-infective and anti-inflammatory treatment. Early surgery, drainage, and vigilance regarding the basic treatment of systemic diseases are keys to the treatment of cervical necrotizing fasciitis.

Key words: Acute epiglottitis, Cervical necrotizing fasciitis, Surgery, Infection, Complications

CLC Number: 

  • R686
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