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Record W4406133950 · doi:10.4236/oalib.1112001

Cervicothoracic Extensive Odontogenic Necrotizing Fasciitis, a Serious Disease:?Cases Reports

2025· article· en· W4406133950 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueOALib · 2025
Typearticle
Languageen
FieldMedicine
TopicStreptococcal Infections and Treatments
Canadian institutionsUniversité Laval
Fundersnot available
KeywordsFasciitisOdontogenicMedicineOdontogenic infectionDermatologyPathologyRadiology

Abstract

fetched live from OpenAlex

Background: Necrotizing fasciitis is a severe, rapidly progressing infection of soft tissues that spreads along fascial planes, characterized by extensive necrosis and intense systemic signs.While these conditions are rare in developed countries, they unfortunately remain prevalent in our developing nations.We present the follow-up of two cases of cervicothoracic necrotizing fasciitis.Methods: Two patients were followed for cervithoracic necrosis following cellulitis of dental origin.Results: The first case involved a 63-year-old, long-term corticosteroid-treated smoker, admitted for cervicothoracic inflammatory swelling, following dental pain.Explorations concluded with a diagnosis of necrotizing fasciitis, leading to surgical debridement and tooth extraction.The resulting tissue loss initially underwent honey-directed healing and subsequently a split-thickness skin graft.The patient's condition improved favorably.The second case was a 57-year-old poorly managed diabetic female presenting cervicothoracic inflammatory swelling due to dental issues, where necrotizing fasciitis was suspected.Surgical debridement, incision, drainage, and tooth extraction were performed.The resulting tissue loss underwent honeydirected healing with a positive outcome.Conclusions: Necrotizing fasciitis remains widespread, and involvement of the cervicothoracic regions can have a dramatic course.Despite limited resources, the complex management of these cases can yield satisfactory results.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.046
Threshold uncertainty score0.598

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.327
Teacher spread0.309 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it