Journal of Dentomaxillofacial Science
Vol. 2 No. 1 (2017): (Available online: 1 April 2017)

Surgical management of necrotizing fasciitis due to odontogenic infection with sepsis: a case report

Saka S. Nugroho (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia)
Endang Syamsudin (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia)
Andri Hardianto (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia)
Lucky Riawan (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Padjadjaran University / Dr. HasanSadikin General Hospital. Bandung, Indonesia)



Article Info

Publish Date
01 Apr 2017

Abstract

Objective:To perform surgical operation on necrotizing fasciitis due to odontegenic infection with sepsis.Methods: In this case an odontogenic infection was accompanied by a large open wound on the face and sepsis. Patient was hospitalized in the Dr.HasanSadikin General Hospital. Management of this patient in the emergency room were administration of appropriate broad-spectrum empiric antibiotic, incision and pus drainage, and extraction of the infected tooth, followed by fluid resuscitation with strict observation. Surgical debridement was then performed.Results:After being treated for 12 days the patient’s condition improved. We planned closure of defects of the facial area, but the patient refused.Conclusion: Necrotizing fasciitis is an uncommon but potentially lethal condition associated with high rates of morbidity and mortality. Early diagnosis coupled with emergent surgical debridement, appropriate broad-spectrum empiric antibiotic treatment, and a multidisciplinary team approach is essential for successful treatment.

Copyrights © 2017






Journal Info

Abbrev

jdmfs

Publisher

Subject

Dentistry

Description

Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci) is an international, peer-reviewed, and open access journal published in English language. Our journal aims to keep dentists informed of developments and advances in general dentistry and its different specialties in an easy-to-read ...