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Case Reports in Otolaryngology
Volume 2012, Article ID 489638, 4 pages
Case Report

Necrotizing Craniocervical Soft Tissue Infections: Clinical Experience and Personal Considerations

1Department of Otorhinolaryngology, University of Insubria, Varese, Ospedale di Circolo e Fondazione Macchi, Via Guicciardini 9, 21100 Varese, Italy
2Department of Otorhinolaryngology, University of Pisa, Pisa, Azienda Ospedaliero Universitaria Pisana, Via Paradisa 2, 56100 Pisa, Italy

Received 12 October 2012; Accepted 1 November 2012

Academic Editors: E. Mevio and M. B. Naguib

Copyright © 2012 Stefania Gallo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Necrotizing cervical soft tissue infections (NCSTIs) are devastating uncommon clinical entities that are often life threatening. We report two patients suffering from NCSTI and treated at our institution. Diagnosis of NCSTI has been confirmed histologically and surgically. Both patients were managed with very aggressive treatment (medical and surgical) and survived with minimal morbidity. Early diagnosis and aggressive, multimodality treatment can reduce mortality and morbidity rates. Thoracic and mediastinal involvement requires appropriate management. A strong clinical suspicion remains one of the most important aspects of the management of such shattering conditions.