<p>Necrotizing fasciitis (NF) is a rare yet life-threatening infection that profoundly affects the subcutaneous tissue and fascia, frequently referred to as a flesh-eating disease. Surgical debridement, necrosectomy, and fasciotomy are the essential components of surgical intervention. In addition to surgical treatment, patients are administered antibiotics, provided with hydration and nutritional support, and closely monitored until the wound size diminishes. Subsequent to the initial surgery, grafting is typically carried out as a follow-up procedure. Existing literature recommends the utilization of rotational, distant flaps, vascularized flaps, and split-thickness grafts for wound coverage. Our study involved a comparison of two treatment approaches following surgical debridement in two similar cases of cervical necrotizing fasciitis (CNF). The aim of this discussion is to present a grafting technique that demonstrates potential for producing favorable outcomes in cases of CNF.</p>

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Full-Thickness Versus Split-Thickness Grafting in Necrotizing Fasciitis: A Technical Note

  • Sonal Shah,
  • Bhimappa Rudagi,
  • Ria Raghavan,
  • Sakshi Gaikwad

摘要

Necrotizing fasciitis (NF) is a rare yet life-threatening infection that profoundly affects the subcutaneous tissue and fascia, frequently referred to as a flesh-eating disease. Surgical debridement, necrosectomy, and fasciotomy are the essential components of surgical intervention. In addition to surgical treatment, patients are administered antibiotics, provided with hydration and nutritional support, and closely monitored until the wound size diminishes. Subsequent to the initial surgery, grafting is typically carried out as a follow-up procedure. Existing literature recommends the utilization of rotational, distant flaps, vascularized flaps, and split-thickness grafts for wound coverage. Our study involved a comparison of two treatment approaches following surgical debridement in two similar cases of cervical necrotizing fasciitis (CNF). The aim of this discussion is to present a grafting technique that demonstrates potential for producing favorable outcomes in cases of CNF.