[Necrotic fasciitis of odontogenic origin].

Abstract

A brief literature review is presented at the beginning of the paper, revealing that the necrotic fasciitis of odontogenic origin in the region of head and face is rarely observed with just a few communications in literature. Proceeding from the fact that term has not been introduced so far in the Bulgarian stomatological literature and that no communications are available about that disease, the author describes a 52-old female patient, affected by severe diabetes. Grave necrotic fasciitis in the infratemporal, temporal, parietal and occipital region advanced after the extraction of lower molars without any pretreatment on the background of the diabetes. The patient was healed by radical necrotomy of the affected fasciae and subcutaneous adipose tissue and via active antibiotic, general tonic and antidiabetic therapy.