Comparison of death and survival cervical necrotizing fasciits cases

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dc.contributor.authorSizer, Bilal
dc.contributor.authorYilmaz, Umit
dc.contributor.authorKinis, Vefa
dc.contributor.authorYorgancilar, Argun Ediz
dc.date.accessioned2024-04-24T17:11:44Z
dc.date.available2024-04-24T17:11:44Z
dc.date.issued2022
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground Cervical Necrotizing Fasciitis (CNF) is associated with a high mortality rate. The occurrence of mediastinitis with CNF may increase mortality up to 70%. Aims We aimed to identify the differences between surviving and deceased cases. Methods The present study was conducted retrospectively by scanning the files of 16 patients between the ages of 19-71 who were diagnosed with CNF. Patients were divided into two groups as the surviving patient group (SPG) and the deceased patient group (DPG). Both groups were compared in terms of age, gender, Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score, duration of symptom onset to hospital admission, use of antibiotherapy prior to admission, duration of hospitalization, presence of diabetes mellitus (DM), presence of dental etiology, mediastinitis, and respiratory distress at the time of admission. Results Diabetes mellitus was the most common comorbid disease. 5 out of 7 deceased patients had DM. Dental events were the most common etiology. Rapid surgical debridement and airway management was the first treatment method. The most frequently isolated species in the culture was Streptococcus. 6 of 11 patients who developed mediastinitis deceased at the end of the process. Conclusion Dental pathologies mostly play a role in the etiology. It is obvious that dentists, another occupational group that frequently encounters this patient group, have a critical role in this process. Therefore, precise attention should be given to dental problems in patients with diabetes, and hospitalization and initiation of broad-spectrum antibiotherapy should be considered in case of suspicion of deep neck infection.en_US
dc.identifier.doi10.1111/jocd.14254
dc.identifier.endpage1641en_US
dc.identifier.issn1473-2130
dc.identifier.issn1473-2165
dc.identifier.issue4en_US
dc.identifier.pmid34038027
dc.identifier.scopus2-s2.0-85107717855
dc.identifier.scopusqualityQ2
dc.identifier.startpage1635en_US
dc.identifier.urihttps://doi.org/10.1111/jocd.14254
dc.identifier.urihttps://hdl.handle.net/11468/17697
dc.identifier.volume21en_US
dc.identifier.wosWOS:000659197200001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal of Cosmetic Dermatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervicalen_US
dc.subjectDebridementen_US
dc.subjectDentalen_US
dc.subjectDiabetesen_US
dc.subjectNecrotizing Fasciitisen_US
dc.titleComparison of death and survival cervical necrotizing fasciits casesen_US
dc.titleComparison of death and survival cervical necrotizing fasciits cases
dc.typeArticleen_US

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