Cervical Necrotizing Fasciitis Caused by Oral Cavity Infection: A Case Report Considering Therapeutic Approach and its Morphofunctional Implications

Cervical necrotizing fasciitis (NF) is a rare complication of oral cavity infection with high morbi-mortality. Given its low prevalence, adequately reporting cases NF, therapeutic management, and associated morphofunctional modifications to the clinical scientific community pivotal. To that end, we herein describe case cervical NF in 60-year-old patient comorbidities presented large, painful swelling necrotic ulcer lesion anterior neck region. Intraoral examination indicated periodontal abscess right mandibular area, while computed tomography lesion’s extension from submandibular Following empirical intravenous antibiotic treatment, broad surgical debridement was performed, foci were removed. Debridement revealed communication between deep superficial anatomical regions where subsequently placed Penrose drain. Biopsies showing acute inflammatory infiltrate hemorrhagic confirmed diagnosis NF. When an antibiogram resistance scheme replaced adequate alternative. After second debridement, closed defect fascio-mucocutaneous advancement flaps lateral base maintaining suction drainage. Having reacted positively, discharged 10 days after operation. Despite extensive change generated treated showed no difficulties breathing, phonation, swallowing, or mobilizing area during control sessions. Altogether, this report contributes highly limited literature describing morphological aspects can facilitate delay spread disorders size depth interventions for information relevant comprehensive, long-term prognosis treatment