경부의 괴사성 근막염 치험례

• 영문명: Cervical necrotizing faciitis : report of a case
• 발행기관: 대한구강악안면외과학회
• 저자명: 유재하(Jae Ha Yoo) 최병호(Byung Ho Choi) 서창호(Chang Ho Suh)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제19권 제2호, 185~194쪽, 전체 10쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 1993.04.30

영문 초록

Necrotizing fasciitis is characterized by widespread necrosis of the superficial fascia with extensive undermining of the surrounding tissues. It occurs frequently in the abdominal wall, perineum and lower extremities after surgery or trauma but the occurrence in head and neck region is rare, possibly because of the abundant vascularity of the area. The involved microorganisms are represented by mixed synergistic infections involving both aerobes and anaerobes, such as, Staphylococcus aureus, Pseudomonas aeruginosa, Bacteroides melaninogenicus, and Klebsiella aerobactor. The predisposing factors producing necrotic lesion are thought as the diabetes mellitus, atherosclerosis, alcoholism, drug abuser, trauma and recent surgery in immunosuppressive states. It s treatment requires early recognition, prompt and aggressive surgical debridement and proper supportive cares, such as, antibiotic therapy, fluid resuscitation and correction of metabolic and electrolyte disorder, resolving of the underlying systemic disease. The patient, 57-year-old man, was diagnosed as acute cervical necrotizing faciitis by odontogenic infection and it was successfully treated by early wide surgical debridement, consistent wound cleansing and drainage and systemic supportive cares.

목차

Abstract

I. 서론

II. 증례

III. 총괄 및 고찰

IV. 결론

참고문헌

키워드

Necrotizing fasciitis Mixed synergistic infection Wide surgical debridement