Arch Craniofac Surg.  2019 Aug;20(4):270-273. 10.7181/acfs.2019.00311.

Necrotizing fasciitis of the masticator space with osteomyelitis of the mandible in an edentulous patient

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. bommiefseo@gmail.com

Abstract

Necrotizing fasciitis (NF) is a rapidly progressive necrosis of the subcutaneous tissue and fascia, caused by bacterial infection. Usually presenting in the extremities, trunk, or perineum, it is uncommon in the craniofacial or cervical area. Cervicofacial NF is a potentially fatal infection, which should be managed with early detection and intervention. Most cases have a primary odontogenic source of infection, especially when the masticator space is involved. We report a case of masticator space NF that developed without odontogenic origin in a 78-year old female who was treated with prompt surgical drainage and intravenous antibiotics.

Keyword

Mouth, edentulous; Necrotizing, fasciitis; Osteomyelitis

MeSH Terms

Anti-Bacterial Agents
Bacterial Infections
Drainage
Extremities
Fascia
Fasciitis, Necrotizing*
Female
Humans
Mandible*
Mouth, Edentulous
Necrosis
Osteomyelitis*
Perineum
Subcutaneous Tissue
Anti-Bacterial Agents
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