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#1
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12-11-2022, 05:34 PM
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Necrotizing Fasciitis of the Neck
A 23-year old male, who had no significant past medical or surgical history, was admitted to our Maxillofacial Department, having attended another hospital where a tracheostomy was performed. He had dysphagia, odynophagia, and a fever of 39°C. There was cervical necrosis on the right side extending over the midline to the left side and on to the clavicular region. These whole areas were painful to touch and swollen as was the face with palpable gaseous crepitus. Oral endoscopy was difficult because of trismus and odontogenic infection in the left lower mandible. The colour changes on the skin of the neck; were caused by the presence of necrotic tissue, associated with a lot of pus and debris. |