Necrotizing Fasciitis: Pearls and Pitfalls
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The incidence of necrotizing fasciitis (NF) is 0.4 cases per 100,000 people. NF is a life-threatening infection of the soft tissue characterized by widespread necrosis of the skin, subcutaneous fat and fascia. It typically spares the overlying skin and muscle until late in the disease. Diabetes mellitus is known to be one of the comorbidities in the progression of the disease. This course will discuss the recent advances in diagnosing and managing necrotizing fasciitis to the head and neck. NF of the head and neck has a particularly high mortality rate due to the proximity of many vital anatomical structures. Because of its high mortality rate, prompt and aggressive management with immediate surgical intervention is crucial. Management includes eradication of the source of infection, proper wound dressing, control of blood sugar and broad-spectrum antibiotic coverage.
Learning Objectives
At the conclusion of this program, participants should be able to:
- Examine the incidence and etiology of necrotizing fasciitis.
- Determine the risk factors and pathophysiology of the disease.
- Discuss the role of different types of laboratory exams and imaging in diagnosis.
- Explain the challenges associated with the reconstruction of defects after treating the disease.
- Analyze the different available antibiotics and the best route of administration.
Dina Amin, DDS, FACS
OMFS Program Director
University of Rochester
Rochester, New York
Disclosure information not submitted.
Waleed Zaid, DDS, MSc, FRCDC, FACS (he/him/his)
Associate Professor
Louisiana State University Health Sciences Center New Orleans
New Orleans, Louisiana
Disclosure(s): No financial relationships to disclose
An Internet-based CDE/CME Activity
Original Release Date: September 9, 2024
Expiration Date: September 9, 2027
Estimated time to complete this educational activity: 1.0 hour
Method of participation: Self-Study
Dina Amin, DDS, FACS
OMFS Program Director
University of Rochester
Dr. Dina Amin is an Associate Professor and the Residency Program Director in the Department of Oral and Maxillofacial Surgery at the University of
Rochester, Rochester, NY. She specializes in oral, head, and neck oncology and microvascular reconstructive surgery. She graduated from King
Abdulaziz University, the only internationally accredited dental school by the Commission on Dental Accreditation (CODA). She completed a
Oral and Maxillofacial Surgery residency in Saudi Arabia, followed by fellowships in craniofacial surgery, head and neck oncology, and
microvascular reconstructive surgery at the University of Alabama at Birmingham (UAB), Birmingham, Alabama, US. Dr. Amin joined the Emory
Division of Oral and Maxillofacial Surgery (OMS) in 2016 as the director of the OMS Ambulatory Clinic. In 2021, she was appointed the associate
chief of OMS service at Grady Memorial Hospital, Atlanta, GA. Dr. Amin is accredited with introducing head and neck oncology and microvascular
reconstruction, utilizing computer-assisted surgery and computer-assisted navigation to complex craniomaxillofacial trauma and advanced head and
neck reconstruction to the clinical services of Emory OMS. Dr. Amin worked briefly at Texas A&M University and Baylor Medical Center before
joining the University of Rochester. Her primary research evolved from her interests in craniomaxillofacial trauma and head and neck reconstruction, as she is the PI of an orbital trauma clinical trial. Dr. Amin has received intramural and international grants. She is the author of more than 30 articles in peer-reviewed journals and 15 book chapters. She also edited one book entitled" Pitfalls and Pearls in Oral and Maxillofacial Surgery."
Disclosure information not submitted.
Waleed Zaid, DDS, MSc, FRCDC, FACS
Associate Professor
Louisiana State University Health Sciences Center New Orleans
Dr. Zaid completed his undergraduate dental degree from Ajman University of science and technology and received his degree as a Doctor in Dental surgery. Dr. Zaid practiced as an Oral and Maxillofacial surgery trainee in multiple hospitals in the UAE until he moved to Montreal, Canada where he completed his oral and maxillofacial surgery residency program at McGill University.
Dr. Zaid composed his master’s thesis on a topic that is related to head and neck oncology titled “In Vitro Effects of bisphosphonates on Oral Squamous Cell Carcinoma” that awarded him an MSc degree from McGill University, during that time Dr. Zaid became a fellow of the Royal College in Oral and Maxillofacial Surgery after completing his Canadian Boards. Dr. Zaid went to Boston Medical center - Boston University Henry M. Goldman School of Dental Medicine to complete his clinical head and neck oncology and microvascular reconstruction fellowship.
Since completing his fellowship Dr. Zaid has been on Staff as an Associate professor at Louisiana State University Health Science Center New Orleans / School of Dentistry at the Department of Oral and Maxillofacial surgery where he spends most of the time in Baton Rouge where he provides full scope Oral and Maxillofacial surgery services with great interest to Head and Neck Oncology and microvascular reconstruction, his interest in research allowed him to be published in multiple peer-reviewed journals like JOMS, Triple OOO, Oral Maxillofacial Surgery Clinics of North America and multiple book chapters in the OMFS literature, this also allowed him to become a reviewer to many sections in multiple peer-reviewed journals, he is a Diplomate of the American Board of Oral and Maxillofacial surgery and finally he is an active member of multiple local, national and international Oral and maxillofacial surgery societies and associations and is one of the LSU-Oral and Maxillofacial review board faculty members.
Currently, he is the chief of Dentistry and Oral and Maxillofacial surgery at Our Lady of The Lake Regional Medical center in Baton Rouge, Louisiana.
Disclosure(s): No financial relationships to disclose
Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).
AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680
The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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