# Cervical Necrotising Fasciitis Leading to Critical Airway Compromise: A Case Report of Successful Airway Management With Awake Fibreoptic Intubation

**Authors:** Hannan Chaudery, Paul Efthymiou, Stefan R Cozma

PMC · DOI: 10.7759/cureus.57126 · 2024-03-28

## TL;DR

A 56-year-old woman with breast cancer developed severe neck infection after a fall, and her airway was successfully managed using a special intubation technique.

## Contribution

The paper presents a successful case of awake fibreoptic intubation in managing critical airway compromise due to cervical necrotising fasciitis.

## Key findings

- Awake fibreoptic intubation was successfully used to manage airway obstruction caused by cervical necrotising fasciitis.
- The patient's condition was resolved through timely airway management and surgical intervention.
- The case emphasizes the importance of rapid diagnosis and treatment in rapidly progressing infections.

## Abstract

A 56-year-old female patient with a history of breast cancer, anxiety, and depression developed rapid-onset cervical necrotising fasciitis following a fall at home where she sustained multiple rib fractures and lacerations. The case highlights the challenge of managing a rapidly progressing airway obstruction and the successful management of the patient's condition with awake fibreoptic intubation and subsequent surgical intervention.

## Linked entities

- **Diseases:** breast cancer (MONDO:0004989), anxiety (MONDO:0005618), depression (MONDO:0002050)

## Full-text entities

- **Diseases:** Cervical Necrotising Fasciitis (MESH:D005208), depression (MESH:D003866), anxiety (MESH:D001007), rib fractures (MESH:D012253), breast cancer (MESH:D001943), airway obstruction (MESH:D000402)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC11055563/full.md

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Source: https://tomesphere.com/paper/PMC11055563