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A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

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Photobiomodulation to Treat Necrotizing Fasciitis.

Maria Patrícia Rogério de Mendonça¹, Ana Karisse de Carvalho Andrade¹, Vinícius Rodrigues Gomes²

¹Division of Hospital Dentistry Service.

The Journal of Craniofacial Surgery

|January 19, 2021

Summary

Necrotizing fasciitis, a severe infection linked to diabetes, can be effectively treated with photobiomodulation. This therapy aids tissue repair and reduces inflammation, optimizing healing for patients with complex infections.

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Area of Science:

Oral and Maxillofacial Surgery
Dermatology
Infectious Diseases

Background:

Odontogenic infections can lead to severe complications like necrotizing fasciitis, especially in patients with diabetes mellitus.
Necrotizing fasciitis is a rapidly progressing infection characterized by necrosis of the superficial fascia.

Observation:

A 52-year-old female patient with type 2 diabetes mellitus (fasting blood glucose 303 mg/dL) presented with necrotizing fasciitis in the left cervical-thoracic region.
The patient received standard treatment including antibiotics, cervicotomy, and abscess drainage.

Findings:

Adjunctive therapy with 10 sessions of photobiomodulation using a red wavelength laser was administered to address tissue loss.
Significant improvements were observed, including increased granulation tissue, absence of necrotic areas, wound edge contraction, and complete wound repair.

Implications:

Photobiomodulation demonstrates effectiveness in optimizing healing and modulating the inflammatory response in necrotizing fasciitis sequelae.
This case highlights the potential of photobiomodulation as a valuable therapeutic option for managing complex infections in diabetic patients.