case_images: PMC10499299_01
case_images: Perioperative pictures
case_images: AMS-13-113-g001.jpg
case_images: PMC10499299_01_AMS-13-113-g001.jpg
case_images: ams_133_22-f001
case_images: A 21-year-old female patient presented with a history of foul odour-meatus swelling along with pus discharge from left submandibular orocutaneous communication for the past 10 days [Figures 1-3]. Pus and necrotic tissue samples were negative for tuberculosis and there was no microbial growth [Figure 1].
case_images: (a) Histopathological view, (b) Pre-operative orthopantomogram, (c) 13th-month follow-up picture
case_images: AMS-13-113-g002.jpg
case_images: PMC10499299_01_AMS-13-113-g002.jpg
case_images: ams_133_22-f002
case_images: A 21-year-old female patient presented with a history of foul odour-meatus swelling along with pus discharge from left submandibular orocutaneous communication for the past 10 days [Figures 1-3]. Her orthopantomogram revealed a carious left second mandibular molar, which was subsequently extracted [Figure 2b]. Histopathology of the necrotic tissue confirmed necrotising fasciitis [Figure 2a]. Her post-surgical wound healing was uneventful, with minimal scarring at the 13th-month follow-up [Figure 2c].
case_images: (a) Pre-operative picture, (b) Computed tomography scan images after tooth removal
case_images: AMS-13-113-g003.jpg
case_images: PMC10499299_01_AMS-13-113-g003.jpg
case_images: ams_133_22-f003
case_images: A 21-year-old female patient presented with a history of foul odour-meatus swelling along with pus discharge from left submandibular orocutaneous communication for the past 10 days [Figures 1-3]. Post-operative computed tomography (CT) scan showed ill-defined fluid collection with air foci within it in the subperiosteal location of the body and angle of the mandible, which was further seen extending into the left submandibular and sublingual regions with evidence of extension of the collection along left sternocleidomastoid and along with strap muscles of the neck [Figure 3b].