Surgical debridement and adjunctive hyperbaric oxygen in cervical necrotizing fasciitis. | Canada Hyperbarics Skip to main content
RCT Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2009

Surgical debridement and adjunctive hyperbaric oxygen in cervical necrotizing fasciitis.

Flanagan CE, Daramola OO, Maisel RH, Adkinson C, Odland RM — Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2009

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers conducted a case series with chart review of ten patients with cervical necrotizing fasciitis (CNF) between 2001 and 2006 to evaluate the management of surgical debridement and adjunctive hyperbaric oxygen therapy (HBO).

What They Found

All ten patients survived, and hospitalization was significantly longer for diabetic patients (15.5 days) compared to non-diabetic patients (7.5 days, P = 0.029). Combined data also suggested a possible decrease in the length of hospitalization with adjunctive hyperbaric oxygen therapy (P < 0.001).

What This Means for Canadian Patients

For Canadian patients diagnosed with cervical necrotizing fasciitis, adjunctive hyperbaric oxygen therapy alongside surgical debridement may potentially lead to shorter hospital stays. This could mean a quicker recovery and return home, especially for those without diabetes who already experience shorter hospitalizations.

Canadian Relevance

This study has no direct Canadian connection as it was not conducted in Canada, nor does it involve Canadian researchers or patients.

Study Limitations

The study's main limitation is its case series design, which prevents definitive conclusions about the efficacy of hyperbaric oxygen therapy, necessitating future randomized trials.

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Study Details

Study Type RCT
Category Infection
Source Pubmed
PubMed ID 19393420
Year Published 2009
Journal Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
MeSH Terms Adult; Aged; Anti-Bacterial Agents; Combined Modality Therapy; Comorbidity; Debridement; Fasciitis, Necrotizing; Female; Focal Infection, Dental; Humans; Hyperbaric Oxygenation; Length of Stay; Male; Middle Aged; Neck

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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.