 |
Case Report
Necrotizing fasciitis of the temporalis muscle caused by ascending infection of an orthokeratinizing odontogenic cyst
1 Associate Professor, Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry, Kanda-Surugadai, Chiyoda-ku, Tokyo, Japan
2 Resident, Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry, Kanda-Surugadai, Chiyoda-ku, Tokyo, Japan
3 Department of Oral and Maxillofacial Radiology, Nihon University School of Dentistry, Kanda-Surugadai, Chiyoda-ku, Tokyo, Japan
4 Professor, Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry, Kanda-Surugadai, Chiyoda-ku, Tokyo, Japan
Address correspondence to:
Osamu Shimizu
Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry, Kanda-Surugadai, Chiyoda-ku, Tokyo,
Japan
Message to Corresponding Author
Article ID: 101296Z01OS2022
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Shimizu O, Shiratsuchi H, Sawada K, Yonehara Y. Necrotizing fasciitis of the temporalis muscle caused by ascending infection of an orthokeratinizing odontogenic cyst. Int J Case Rep Images 2022;13:101296Z01OS2022.ABSTRACT
Introduction: Necrotizing fasciitis is rare in the head and neck region, especially associated with the temporalis muscle, and it is almost always caused by spread of infection secondary to dental extraction. This report presents an extremely rare case of necrotizing fasciitis as a result of ascending orthokeratinizing odontogenic cyst infection involving the temporalis muscle.
Case Report: A healthy 26-year-old man visited our hospital complaining of pain and swelling in the right mandibular third molar region. A panoramic radiograph demonstrated a well-defined unilocular radiolucency at the right side of the mandible. The infection had spread to the temporal region, and a computed tomography (CT) image showed the gas formation. The oral and intravenous administration of antibiotics, incisional drainage, and removal of necrotic tissue and impacted wisdom tooth led to remission of the disease.
Conclusion: The present report was an extremely rare case of necrotizing fasciitis as a result of ascending orthokeratinizing odontogenic cyst infection in mandible involving the temporalis muscle.
Keywords: Computed tomography (CT), Necrotizing fasciitis, Orthokeratinizing odontogenic cyst, Temporalis muscle
SUPPORTING INFORMATION
Acknowledgments
This study was supported by the Sato Fund (2019) and a grant from the Dental Research Center, Nihon University School of Dentistry (2019).
Author ContributionsOsamu Shimizu - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hiroshi Shiratsuchi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kunihiko Sawada - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yoshiyuki Yonehara - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Osamu Shimizu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
