AB160. SOH25_AB_209. “Neck-rotising fasciitis”—a case report of extensive cervicofacial necrotising fasciitis reconstructed with use of novosorb biodegradable temporising matrix
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AB160. SOH25_AB_209. “Neck-rotising fasciitis”—a case report of extensive cervicofacial necrotising fasciitis reconstructed with use of novosorb biodegradable temporising matrix

Aaron Craughan1, Mel Corbett2, Eoin Conlon2, Jack Woods3, Seng Guan Khoo2

1Faculty of Education & Health Services, School of Medicine, University of Limerick, Garraun, Limerick, Ireland; 2Department of Otorhinolaryngology, St. Vincent’s University Hospital, Dublin, Ireland; 3Department of Plastic and Reconstructive Surgery, St. Vincent’s University Hospital, Dublin, Ireland

Background: Cervical necrotising fasciitis is a rare and aggressive infection with high mortality, characterized by rapid tissue destruction and a significant diagnostic challenge. Early intervention with a multidisciplinary approach is critical for survival. This case demonstrates the novel use of a biodegradable temporising matrix (BTM) in the reconstruction of an extensive cervical defect resulting from necrotising fasciitis.

Methods: A 63-year-old male with poorly controlled diabetes mellitus and a significant smoking history presented with 2 weeks of progressive neck pain, reduced mobility, fever, and poor oral intake. Imaging confirmed a deep neck space infection. Initial surgical intervention involved incision and drainage. However, the patient experienced rapid clinical deterioration due to necrotising fasciitis, necessitating further extensive surgical debridement. NovoSorb BTM was applied during the second debridement to facilitate dermal regeneration. Five weeks later, a split-thickness skin graft (STSG) was placed over the regenerated neodermis.

Results: NovoSorb BTM provided a stable and vascularized foundation for successful STSG application. The patient showed significant clinical improvement, with a resolution of infection, stabilization of vital signs, and progressive wound healing. Multidisciplinary care by ENT, plastic surgery, and critical care teams contributed to this favorable outcome.

Conclusions: This case highlights the importance of early recognition and aggressive treatment of cervical necrotising fasciitis. It underscores the potential of NovoSorb BTM as an innovative solution for managing extensive defects in anatomically challenging regions.

Keywords: Cervical necrotising fasciitis; dermal regeneration; biodegradable temporising matrix (BTM); surgical reconstruction; wound healing

Acknowledgments

None.

Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab160
Cite this abstract as: Craughan A, Corbett M, Conlon E, Woods J, Khoo SG. AB160. SOH25_AB_209. “Neck-rotising fasciitis”—a case report of extensive cervicofacial necrotising fasciitis reconstructed with use of novosorb biodegradable temporising matrix. Mesentery Peritoneum 2025;9:AB160.

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