CLINICAL FEATURES OF ORO-MAXILLOFACIAL NECROTIZING FASCIITIS: A CASE REPORT

Mihaela Dandara, Nicolae Chele, Mihai Cebotari, Sofia Lehtman, Gabriela Motelica, Andrei Mostovei, Alexei Gulpe, Angela Babuci, Zinovia Zorina, Norina Consuela Forna, Doriana Agop Forna

ABSTRACT

Aim: To review current concepts and clinical features of the facial necrotizing fasciitis (NF), with the objective of optimizing the accuracy of early therapeutic intervention. Materials and Methods: This clinical study was conducted to analyze the specific clinical characteristics of descending necrotizing cervico-facial fasciitis within the Department of Oral and Maxillofacial Surgery of Emergency Institute. An important inclusion criterion was the identification of a correlation between the topographic localization,number of involved spaces, and t mechanism of infection spreading through the fascial compartments. Results and Discussion:The present case illustrates the convergence of clinical, imaging, and laboratory criteria characteristic of descending necrotizing cervico-facial fasciitis developing in a septic context. The correlation between rapid clinical progression, imaging-documented fascial involvement, and biological markers of systemic inflammation supports the mechanism of deep dissemination of the suppurative process along cervical anatomical planes. Conclusions: The review of current concepts regarding facial necrotizing fasciitis highlights that therapeutic success relies on the integration of clinico-biological algorithms. A multidisciplinary approach, iterative surgical intervention, and targeted antibiotic therapy are the fundamental pillars of modern management.

DOI: 10.62610/RJOR.2025.1.18.12