An adjuvant therapy in cervical necrotising fasciitis: hyperbaric oxygen treatment

2016-04-25T06-00-28Z
Source: Medicine Science | International Medical Journal
Nuray Ensari, Ozer Erdem Gur, Mehmet Turker Ozturk, Irem Tezer, Oguzhan Ilden, Mustafa Deniz Yilmaz.
Cervical necrotising fasciitis is a rapidly progressing, life-threatening deep neck infection. In the majority of patients there are comorbidities which affect the immune system such as diabetes mellitus, advanced age, acute or chronic renal failure, post-partum status, alcoholism, use of intravenous drugs, malnutrition, malignancy, peripheral vascular disease or exposure to radiation. Standard treatment is emergency surgical debridement and intravenous antibiotic treatment. As a supportive treatment, the application of hyperbaric oxygen (HBO) has been shown to provide significant recovery and shorten the period of hospitalisation. In this study, the results are presented of the application of HBO treatment as an adjuvant to the standard treatment of patients diagnosed with cervical necrotising fasciitis, and this is discussed in the light of relevant literature.


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