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  • Title: Craniocervical necrotizing fasciitis of odontogenic origin with mediastinal extension.
    Author: Edwards JD, Sadeghi N, Najam F, Margolis M.
    Journal: Ear Nose Throat J; 2004 Aug; 83(8):579-82. PubMed ID: 15487640.
    Abstract:
    We review an interesting case of craniocervical necrotizing fasciitis with thoracic extension in an immunocompetent 44-year-old man. The patient underwent aggressive medical and surgical management during a long hospitalization. Multiple surgical debridements, including transcervical mediastinal debridement, and eventually a thoracotomy for mediastinal abscess were required. The patient eventually recovered, and 3 months later he showed no sign of complications or recurrence. Craniocervical necrotizing fasciitis is a fulminant soft-tissue infection, usually of odontogenic origin, that requires prompt identification and treatment to ensure survival. Broad-spectrum intravenous antibiotics, aggressive surgical debridement and wound care, hyperbaric oxygen, and good intensive care are the mainstays of treatment.
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