Cervical and craniofacial necrotizing fasciitis

Cervical and craniofacial necrotizing fasciitis is an aggressive disease process that at times has subtle etiologies and physical findings. Involvement in the head and neck is rare; however, when present it can have extensive morbidity and mortality. High index of suspicion is paramount for early treatment and survival. We describe the presentation, diagnosis, and treatment of cervical and craniofacial necrotizing fasciitis. We detail the typical physical examination findings as well as diagnosis based on imaging. We then describe in-depth the operative techniques needed to properly treat these patients allowing for their best chance at survival from this deadly disease.