TY - JOUR
T1 - Eight Tales of Cervical Necrotizing Fasciitis and Free Tissue Transfer
AU - Rapoport, Nicholas A.
AU - Lee, David S.
AU - Lee, Jake J.
AU - Puram, Sidharth V.
AU - Jackson, Ryan S.
AU - Pipkorn, Patrik
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this publication was supported by the National Institute of Deafness and Other Communication Disorders (NIDCD) within the National Institutes of Health (NIH), through the “Development of Clinician/Researchers in Academic ENT” training grant, award number T32DC000022. The content is solely the responsibility of the authors and does not necessarily represent the official view of the NIH.
Publisher Copyright:
© The Author(s) 2022.
PY - 2023/2
Y1 - 2023/2
N2 - Objectives: Aggressive surgical debridement is required in cervical necrotizing fasciitis, and in severe defects, subsequent free tissue transfer might be necessary. However, there is concern that the inflammatory environment of the infection site may threaten free flap viability, particularly with concerns for thrombosis of feeding vessels and compromised tissue integration. Cases in the head and neck area are rare, so there are limited data regarding outcomes of free tissue transfer in these patients. Methods: A retrospective chart review assessed patients with cervical necrotizing fasciitis treated at an academic tertiary hospital between 2015 and 2021. Twenty-five patients were identified, and eight required free tissue transfer after adequate surgical debridement. Treatment, hospital course, and demographic data were collected on these eight patients. Results: All flaps had full survival at follow up (median follow up 3 months, range 1-39 months) without concerns for vascular compromise. Conclusion: These data suggest that in patients with large soft tissue defects due to cervical necrotizing fasciitis, free tissue transfer may be a safe treatment modality.
AB - Objectives: Aggressive surgical debridement is required in cervical necrotizing fasciitis, and in severe defects, subsequent free tissue transfer might be necessary. However, there is concern that the inflammatory environment of the infection site may threaten free flap viability, particularly with concerns for thrombosis of feeding vessels and compromised tissue integration. Cases in the head and neck area are rare, so there are limited data regarding outcomes of free tissue transfer in these patients. Methods: A retrospective chart review assessed patients with cervical necrotizing fasciitis treated at an academic tertiary hospital between 2015 and 2021. Twenty-five patients were identified, and eight required free tissue transfer after adequate surgical debridement. Treatment, hospital course, and demographic data were collected on these eight patients. Results: All flaps had full survival at follow up (median follow up 3 months, range 1-39 months) without concerns for vascular compromise. Conclusion: These data suggest that in patients with large soft tissue defects due to cervical necrotizing fasciitis, free tissue transfer may be a safe treatment modality.
KW - deep neck infection
KW - free flap reconstruction
KW - free tissue transfer
KW - head and neck surgery
KW - otolaryngology
UR - http://www.scopus.com/inward/record.url?scp=85129198182&partnerID=8YFLogxK
U2 - 10.1177/00034894221088179
DO - 10.1177/00034894221088179
M3 - Article
C2 - 35373592
AN - SCOPUS:85129198182
SN - 0003-4894
VL - 132
SP - 226
EP - 232
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 2
ER -