Necrotizing fasciitis of the masticator space with osteomyelitis of the mandible in an edentulous patient

Arch Craniofac Surg. 2019 Aug;20(4):270-273. doi: 10.7181/acfs.2019.00311. Epub 2019 Aug 20.

Abstract

Necrotizing fasciitis (NF) is a rapidly progressive necrosis of the subcutaneous tissue and fascia, caused by bacterial infection. Usually presenting in the extremities, trunk, or perineum, it is uncommon in the craniofacial or cervical area. Cervicofacial NF is a potentially fatal infection, which should be managed with early detection and intervention. Most cases have a primary odontogenic source of infection, especially when the masticator space is involved. We report a case of masticator space NF that developed without odontogenic origin in a 78-year old female who was treated with prompt surgical drainage and intravenous antibiotics.

Keywords: Mouth, edentulous; Necrotizing, fasciitis; Osteomyelitis.

Publication types

  • Case Reports