• J Laryngol Otol · Aug 2006

    Case Reports

    Surgical debridement of craniocervical necrotizing fasciitis: the window of opportunity.

    • B C Hanna, T G Delap, K Scott, and S Sinclair.
    • Department of ENT, Antrim Area Hospital, Antrim, Northern Ireland, UK. b.hanna@qub.ac.uk
    • J Laryngol Otol. 2006 Aug 1; 120 (8): 702-4.

    AbstractCraniocervical necrotizing fasciitis (CCNF) has a potentially high morbidity and mortality. Late presentation, shock and disseminated intravascular coagulation are associated with a particularly poor prognosis. Early recognition and aggressive treatment is advised. A case report is presented of a late presentation of necrotizing fasciitis of the face, neck and anterior thoracic wall. Despite adverse prognostic indicators, surgical debridement was performed. Intensive medical treatment included continuous renal replacement therapy and intravenous immunoglobulin. Survival in this case illustrates that the window of opportunity for surgically treating CCNF extends to the advanced stages of the disease, albeit with increased morbidity.

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