case_images: PMC4916313_01
case_images: The extraoral physical examination revealed extensive necrotic tissue in the cervical area.
case_images: CRID2016-1674153.001.jpg
case_images: PMC4916313_01_CRID2016-1674153.001.jpg
case_images: fig1
case_images: The extraoral physical examination revealed extensive necrotic tissue in the cervical area, fetid odor, hyperemia, and edema (Figure 1).
case_images: Installation of a Pen Rose irrigation drain.
case_images: CRID2016-1674153.002.jpg
case_images: PMC4916313_01_CRID2016-1674153.002.jpg
case_images: fig2
case_images: The patient was submitted to surgical removal of necrotic tissue, debridement of the surrounding tissues, installation of a Pen Rose irrigation drain (physiologic solution 0.9%), and intravenous administration of Meropenem 500 mg for 10 days (Figure 2).
case_images: (a) After seven days and (b) after 21 days, dehiscence of the wound edges was observed.
case_images: CRID2016-1674153.003.jpg
case_images: PMC4916313_01_CRID2016-1674153.003.jpg
case_images: fig3
case_images: After seven days, dehiscence of the wound edges was observed, a new surgical debridement was carried out, and occlusive dressing with silver alginate was applied and exchanged every 48 hours for 21 days (Figures 3(a) and 3(b)).
case_images: (a) After 30 days and (b) after seven weeks using silver alginate, a favorable healing was observed.
case_images: CRID2016-1674153.004.jpg
case_images: PMC4916313_01_CRID2016-1674153.004.jpg
case_images: fig4
case_images: After 30 days, the patient was discharged (Figure 4(a)), though complete repair of the surgical wound was not observed, as that only happened seven weeks after the operation by secondary intention (Figure 4(b)).