Necrotizing fasciitis of the neck: considerations about two cases.

BACKGROUND AND AIM OF THE WORK: Necrotizing fasciitis is a rapidly progressing life-threatening infection of the deep fat and fascial layers, which rarely occurs in the neck. The aim of the paper is to report the management of this rare condition, pointing out the role of multimodality in achieving the cure of the patient.

METHODS

We report our experience regarding the management of two cases of necrotizing fasciitis of the neck successfully treated with surgical and medical treatment.

DISCUSSION: Early diagnosis of necrotizing fasciitis of the neck plays a central role in preventing progression of the disease. Multimodal treatment should be mandatory.

CONCLUSIONS

Securing of the airway, immediate aggressive surgical debridement, and antibacterial agents administration represent the effective treatment in preventing progression of the disease. Intensive care support should be considered as an integral part of treatment.