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Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy.

Publication ,  Journal Article
Langford, FP; Moon, RE; Stolp, BW; Scher, RL
Published in: Otolaryngol Head Neck Surg
February 1995

Hyperbaric oxygen therapy has significantly improved the management of necrotizing fasciitis of the extremities and trunk. Its role in cervical necrotizing fasciitis has not been fully evaluated. Historically, necrotizing fasciitis has been associated with considerable morbidity and mortality. This report discusses our experience with cervical necrotizing fasciitis in six patients treated from 1986 to 1993 who received hyperbaric oxygen therapy. All patients survived. In all cases infection was of probable odontogenic origin. Most patients in whom necrotizing fasciitis develops have identifiable risk factors; however, two patients in this series were previously healthy, and there was no relationship between hospital course and identified risk factors. Clinical presentation and microbiology are reviewed together with the rationale for hyperbaric oxygen therapy as an adjunct to broad-spectrum antibiotics and aggressive early surgical debridement.

Duke Scholars

Published In

Otolaryngol Head Neck Surg

DOI

ISSN

0194-5998

Publication Date

February 1995

Volume

112

Issue

2

Start / End Page

274 / 278

Location

England

Related Subject Headings

  • Treatment Outcome
  • Survival Rate
  • Risk Factors
  • Periodontitis
  • Otorhinolaryngology
  • Necrosis
  • Neck
  • Middle Aged
  • Male
  • Length of Stay
 

Citation

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ICMJE
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Langford, F. P., Moon, R. E., Stolp, B. W., & Scher, R. L. (1995). Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy. Otolaryngol Head Neck Surg, 112(2), 274–278. https://doi.org/10.1016/S0194-59989570250-4
Langford, F. P., R. E. Moon, B. W. Stolp, and R. L. Scher. “Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy.Otolaryngol Head Neck Surg 112, no. 2 (February 1995): 274–78. https://doi.org/10.1016/S0194-59989570250-4.
Langford FP, Moon RE, Stolp BW, Scher RL. Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy. Otolaryngol Head Neck Surg. 1995 Feb;112(2):274–8.
Langford, F. P., et al. “Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy.Otolaryngol Head Neck Surg, vol. 112, no. 2, Feb. 1995, pp. 274–78. Pubmed, doi:10.1016/S0194-59989570250-4.
Langford FP, Moon RE, Stolp BW, Scher RL. Treatment of cervical necrotizing fasciitis with hyperbaric oxygen therapy. Otolaryngol Head Neck Surg. 1995 Feb;112(2):274–278.
Journal cover image

Published In

Otolaryngol Head Neck Surg

DOI

ISSN

0194-5998

Publication Date

February 1995

Volume

112

Issue

2

Start / End Page

274 / 278

Location

England

Related Subject Headings

  • Treatment Outcome
  • Survival Rate
  • Risk Factors
  • Periodontitis
  • Otorhinolaryngology
  • Necrosis
  • Neck
  • Middle Aged
  • Male
  • Length of Stay