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Cervical necrotizing fasciitis of odontogenic origin involving the temporal region – A case report

Guido Lorenzini (Assistant Professor)1Corresponding Author Informationemail address, Maria Picciotti, DDS1, Luca Di Vece, DDS1, Emanuela Pepponi (ENT Doctor)2, Leopoldo Brindisi (ENT Doctor)2, Valeria Vessio, DDS1, Marianna Maffei (ENT Doctor)2, Massimo Viviano, DDS1

Received 15 July 2009; accepted 11 May 2010. published online 18 June 2010.
Corrected Proof

Summary 

Necrotizing fasciitis (NF) is a soft-tissue infection, usually polymicrobial, that causes necrosis of fascia and subcutaneous tissue while sparing skin and muscle. We report a case of cervical NF complicating dental infection in a 50-year-old woman, who presented with infection involving mucosa of the right mandible and temporal muscle, and masticator spaces, requiring extensive surgery and antibiotic therapy. Prompt diagnosis and immediate aggressive surgical debridement of all compromised tissues are critical to reducing morbidity and mortality in these rapidly progressive infections.

1 Department of Odontostomatologic and Ophthalmologic Sciences (Head: Prof. Marco Ferrari), University of Siena, Italy

2 Department of Otolaryngology (Head: Prof. Daniele Nuti), University of Siena, Italy

Corresponding Author InformationDr. Lorenzini Guido, Polyclinic Santa Maria “Le Scotte”, University of Siena, Department of Odontostomatologic and Ophthalmologic Sciences, Viale Bracci 1, Cap 53100 Siena, Italy. Tel.: +39 0577585771/+39 3395842547(mobile); Fax:+39 0577586155.

PII: S1010-5182(10)00122-8

doi:10.1016/j.jcms.2010.05.002