Necrotizing Fasciitis of Neck due to Third Molar Infection: Case Report

s background: Necrotizing fasciitis (NF) is a severe soft tissue infection characterized by rapidly progressing necrosis, involving fascia and subcutaneous tissues .This rare condition carries high mortality rate and require prompt diagnosis and urgent treatment with radical debridement and antibiotics. Method: We prescribe a case of 61 years old Chadian male with history of Diabetes Mellitus who presented to emergency of KFHJ. He reported dental infection and swelling related to lower right jaw one week before. Which developing necrosis, ill-defined black border and gas formation in the neck region. Result: patient underwent extensive debridement within 24 hours and second debridement after another 24 hours with multiple antibiotics. Objective: The purpose of this article is to review the NF of neck infection secondary to lower third molar tooth infection. Conclusion: The surgeon should suspect necrotizing fasciitis when dental abscess is resistance to the conventional therapy. Satisfactory outcomes can be achieved with early diagnosis and aggressive surgical therapy in concert with empirical antimicrobial therapy.