Necrotising fasciitis; Importance in maxillofacial surgery a review with case report

Necrotising fasciitis is a rare soft tissue infection of soft tissues characterized by rapidly progressive, necrotizing process that has high rate of fatality. It can occur in an occult fashion wherein the necrosis progresses within the fascia and subcutaneous tissues leaving the upper muscular and dermal layer intact. Unless a high degree of suspicion is expressed by the surgeon this condition can go unnoticed and lead to death. In maxillofacial region, infections of odontogenic origin and peri-tonsillar regions are the main causative factors, responsible for this condition .The possibility of acquiring this disease is accentuated in patients with on low immunity status like diabetes. In this review we analyse a detailed review of this morbid disease and present two case reports with their effective management.