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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2003 April;14(1):43-6
Temporal necrotizing infection of dental origin
Gerbino G., Tavolaccini A., Griffa A.
Department of Maxillo-Facial Surgery San Giovanni Battista Hospital, Turin, Italy
Necrotizing fasciitis is a severe bacterial infection of soft tissues characterized by necrosis of subcutaneous tissue, spreading rapidly along the anatomic fascial planes. Necrotizing fasciitis of dental origin is uncommon in the neck and head region and usually originates from the 2nd or 3rd molar. It is characterized by thrombosis of the vessels of the dermo-epidermis, with consequent cutaneous pain, progressing to tissue necrosis. The authors describe a diagnosis and treatment of a case of necrotizing fasciitis of dental origin which progressed from the mouth as far as the infratemporal and temporal fossae.