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. 2001 Sep;125(3):245-52.
doi: 10.1067/mhn.2001.118182.

Craniocervical necrotizing fasciitis: an 11-year experience

S J Bahu  1 , T Y Shibuya, R J Meleca, R H Mathog, G H Yoo, R J Stachler, J G Tyburski
Affiliations

Craniocervical necrotizing fasciitis: an 11-year experience

S J Bahu et al. Otolaryngol Head Neck Surg. 2001 Sep.

Abstract

Objective: We review our experience and present our approach to treating craniocervical necrotizing fasciitis (CCNF).

Study design: All cases of CCNF treated at Wayne State University/Detroit Receiving Hospital from January 1989 to April 2000 were reviewed. Patients were analyzed for source and extent of infection, microbiology, co-morbidities, antimicrobial therapy, hospital days, surgical interventions, complications, and outcomes.

Results: A review of 250 charts identified 10 cases that met the study criteria. Five cases (50%) had spread of infection into the thorax, with only 1 (10%) fatality. An average of 24 hospital days (7 to 45), 14 ICU days (6 to 21), and 3 surgical procedures (1 to 6) per patient was required.

Conclusion: Aggressive wound care, broad-spectrum antibiotics, and multiple surgical interventions resulted in a 90% (9/10) overall survival and 80% (4/5) survival for those with thoracic extension.

Significance: This is the largest single institution report of CCNF with thoracic extension identified to date.

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