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Cervical necrotizing fasciitis

S Kantu¹, G Har-El

¹Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, USA.

The Annals of Otology, Rhinology, and Laryngology

|December 31, 1997

Summary

Cervical necrotizing fasciitis (CNF) is a severe head and neck infection. This case series highlights its aggressive nature, with odontogenic infections and mediastinal spread being common, and identifies comorbidities as a risk factor for mortality.

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Area of Science:

Head and Neck Surgery
Infectious Diseases
Oral and Maxillofacial Surgery

Background:

Cervical necrotizing fasciitis (CNF) is a rare but life-threatening soft tissue infection.
It is characterized by rapid progression and high rates of morbidity and mortality.
Limited case series exist, necessitating further reporting to understand its clinical spectrum.

Observation:

This study presents a case series of 8 patients diagnosed with CNF.
The patient cohort included 5 males and 3 females, with ages ranging from 25 to 92 years.
This series represents one of the largest reported collections of CNF cases in the literature.

Findings:

A significant predisposing factor identified in 6 of 8 patients was an odontogenic focus of infection.
Mediastinal involvement, a serious complication, was observed in 4 patients.
Two patients with substantial comorbidities unfortunately succumbed to the infection.

Implications:

Early recognition and prompt management are crucial for improving outcomes in CNF.
Understanding the common predisposing factors, such as odontogenic infections, can aid in timely diagnosis.
Identifying patients with comorbidities may help stratify risk and guide aggressive treatment strategies.

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