Craniocervical necrotizing fasciitis with and without thoracic extension: management strategies and outcome | Canada Hyperbarics Skip to main content
Review Am J Otolaryngol 2009

Craniocervical necrotizing fasciitis with and without thoracic extension: management strategies and outcome

Mao J, Carron M, Fountain K, Stachler R, Yoo G, Mathog R, et al. — Am J Otolaryngol, 2009

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers reviewed 18 years of patient cases at a single medical center to compare outcomes for craniocervical necrotizing fasciitis (CCNF) with and without spread to the chest.

What They Found

Out of 20 patients with CCNF, those whose infection spread to the chest had a 60% survival rate (6 out of 10), while all 10 patients without chest involvement survived. Three patients with chest involvement received hyperbaric oxygen therapy, and 66% of this small group survived.

What This Means for Canadian Patients

Canadian patients diagnosed with craniocervical necrotizing fasciitis, particularly if the infection has spread to the chest, may face a more challenging recovery. This study highlights the importance of prompt and aggressive medical and surgical treatment, including antibiotics and debridement, to improve survival for this severe infection. While a small number of patients received hyperbaric oxygen therapy, the study does not provide enough detail to conclude its specific impact on outcomes.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

This study was a retrospective review conducted at a single institution, involving a small number of patients with craniocervical necrotizing fasciitis.

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Study Details

Study Type Review
Category Infection
Source Pubmed
PubMed ID 19027508
Year Published 2009
Journal Am J Otolaryngol
MeSH Terms Adult; Anti-Bacterial Agents; Cohort Studies; Combined Modality Therapy; Drainage; Fasciitis, Necrotizing; Female; Follow-Up Studies; Head; Hospital Mortality; Humans; Hyperbaric Oxygenation; Length of Stay; Male; Middle Aged; Neck; Probability; Retrospective Studies; Risk Assessment; Severity of Illness Index; Survival Rate; Thoracic Diseases; Thoracostomy; Tomography, X-Ray Computed; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.