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Abstract : |
Necrotizing fasciitis is a severe group A أں-hemolytic streptococcus infection that leads to necrosis of the subcutaneous tissue, adjacent fascia and blood vessels. It is a rare, rapidly progressing condition, with a poor prognosis and a mortality rate as high as 74%. Over a period of 11 years, 4616 with odontogenic infections were admitted to O.M.F. Surgery Department of Iasi. Out of these 4616 patients, we established the necrotizing fasciitis diagnosis just in 4 cases. Treatment must be immediately initiated consisting in oro-tracheal intubation, cardiovascular monitoring, antibiotherapy, large surgical debridement and excision of necrotic tissue, hyperbaric oxygen therapy. After acute inflammation resolution, skin surgical reconstruction is needed. , |
