Flesh-Eating Necrotizing Fasciitis of the Temporal Region: An Unusual Post-Traumatic Presentation

Dr. Supraja R., Dr. Senthil Kumar M.

Abstract: Necrotizing fasciitis, though infrequent in the craniofacial region, represents one of the most aggressive and destructive infections of soft tissue. In our view, what makes this case noteworthy is not just the rare temporal bone involvement, but the way it unfolded following a seemingly straightforward traumatic injury. The infection?s rapid progression-from localized laceration to extensive necrosis-highlights how deceptive early presentations can be. It is evident that early suspicion and swift multidisciplinary management make the difference between recovery and catastrophe. This report traces the journey of a 60-year-old male who developed post-traumatic temporal necrotizing fasciitis, managed through prompt surgical fasciotomy, broad-spectrum antibiotics, and split-thickness skin grafting. The clinical turnaround after aggressive intervention suggests that even in atypical, non-odontogenic cases, decisive surgical action and coordinated care remain the cornerstone of successful outcomes. Taking this further, the case serves as a practical reminder that delayed diagnosis-even by a day-can turn a curable wound into a life-threatening crisis.

Keywords: Necrotizing fasciitis, temporal bone infection, surgical fasciotomy, split-thickness skin graft, post-traumatic wound

How to Cite?: Dr. Supraja R., Dr. Senthil Kumar M., "Flesh-Eating Necrotizing Fasciitis of the Temporal Region: An Unusual Post-Traumatic Presentation", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 117-119, https://www.ijsr.net/getabstract.php?paperid=SR251101095418, DOI: https://dx.doi.org/10.21275/SR251101095418