치성의 괴사성 협부 및 측두부 근막염 치험례

necrotizing buccal and temporal fasciitis of dental origin

Necrotizing fasciitis is a severe soft tissue infection that spreads rapidly in subcutaneous tissue and fascia through the tissue spaces underneath the intack skin. The clinical features of necrotizing fasciitis are extensive dissection and necrosis of the superficial fascia with widespread undermining of the adjacent soft tissues, and extreme systemic toxicity. Most cases of necrotizing fasciitis have occurred in the abdominal wall, perineum, and lower extremities after trauma or surgery of the general surgery. Necrotizing fasciitis is exceedingly uncommon in the cranifacial-cervical region, but an odontogenic etiolgy is most commonly implicated in necrotizing fasciitis of the head and neck. For successful treatment of necrotizing fasciitis, early recognition is essential because the rate of spread is rapid. Aggressive surgical intervention, systemic medical and supportive management, and intensive antibiotoic therapy are very important. This report describes a case of necrotizing buccal and temporal fasciitis following periapical abscess of lower left first molar in a 64-year-old male patient without any predisposing factor.