Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 21 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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NUMARUL 3, VOL. 1, 2005

ARTICOLE ORIGINALE - ORIGINAL PAPERS

ODONTOGENIC NECROTIZING FASCIITIS
G. Melian, D. Gogalniceanu, Carmen Vicol, Otilia Lupascu, M. Ciofu
O.M.F. Surgery Department of Iasi, "St. Spirdon" Hospital Iasi
University of Medicine and Pharmacy "Gr.T. Popa" Iasi
Jurnalul de chirurgie 2005; 1 (3):280-283
Full text: Format PDF (Romanian)

Abstract:

Necrotizing fasciitis is a severe group A ß-hemolytic streptococcus infection that leads to necrosis of the subcutaneous tissue, adjacent fascia and blood vessels. It is a rare, rapidly progressing condition, with a poor prognosis and a mortality rate as high as 74%. Over a period of 11 years, 4616 with odontogenic infections were admitted to O.M.F. Surgery Department of Iasi. Out of these 4616 patients, we established the necrotizing fasciitis diagnosis just in 4 cases. Treatment must be immediately initiated consisting in oro-tracheal intubation, cardiovascular monitoring, antibiotherapy, large surgical debridement and excision of necrotic tissue, hyperbaric oxygen therapy. After acute inflammation resolution, skin surgical reconstruction is needed.

KEYWORDS: NECROTIZING FASCIITIS, ODONTOGENIC INFECTIONS

Correspondence: G. Melian, Maxillofacial Surgery Department of Iasi, "St. Spirdon" Hospital Iasi, Independentei Str., no. 1, 700111, Iasi, Romania



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.