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Cervicofacial Necrotizing Fasciitis Originating From Odontogenic Infections: A Report of Two Cases
Hanan Wahbi1, Raqi Barber1, Sana Mando2
1Oral Pathology and Histology, Damascus University, Damascus, SYR.
Cureus
|October 28, 2024
Summary
Odontogenic infections can rarely lead to life-threatening cervicofacial necrotizing fasciitis (CNF). Early diagnosis and prompt surgical intervention with antibiotics are crucial for successful treatment of this severe condition.
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
Background:
- Cervicofacial necrotizing fasciitis (CNF) is a rare but severe soft tissue infection.
- Odontogenic infections are an infrequent but potential cause of CNF.
Observation:
- Two cases of CNF originating from odontogenic infections are presented.
- Case 1: A 33-year-old male with submandibular pain, skin necrosis, and gas infiltration, requiring skin grafting and reconstructive surgery.
- Case 2: A 14-year-old malnourished female with cervicofacial soft tissue necrosis, treated with antibiotics and surgery.
Findings:
- Odontogenic infections can precipitate severe, life-threatening conditions like CNF.
- Prompt diagnosis and aggressive management, including surgical debridement and intravenous antibiotics, are critical.
Implications:
- Highlights the severe potential consequences of seemingly minor dental infections.
- Emphasizes the importance of early clinical recognition and multidisciplinary treatment for CNF.
- Underscores the need for prompt surgical intervention and antibiotic therapy in managing odontogenic-related CNF.
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