Facial paralysis as a result of severe cervico-facial necrotizing fasciitis: a case report

Abstract

Necrotizing fasciitis (NF) is a progressive, rapidly spreading, inflammatory infection characterized by necrosis of the deep fascia, with secondary effect on the subcutaneous tissue and differing degrees of toxicity. It is a fairly rare entity in the cervico-facial region where it usually originates from odontogenic infection; gingivitis or pulpitis. A case of a 43 years old woman suffering from cervico-facial NF with facial paralysis who is also HIV-positive is presented. Management was essentially aggressive surgical debridement and antibiotic therapy. Residual effects included scarring and facial paralysis. Team approach in the management of NF is advocated.

Tanzania Dental Journal Vol. 13(1) 2006: 30-34