| Autor: |
Khurana, Saurbhi, Pushker, Neelam, Naik, Sreedhara S., Devidas Changole, Milind, Ghonsikar, Vishnukant, Bajaj, Mandeep |
| Předmět: |
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| Zdroj: |
Tropical Doctor; Jul2015, Vol. 45 Issue 3, p188-193, 6p |
| Abstrakt: |
Purpose: To present the clinical features and management of infants presenting with periorbital necrotising fasciitis (NF). Methods: Retrospective case series. Results: Six children were studied. The age at presentation was in the range of 5-11 months (median, 8 months). All children presented with acute onset eyelid inflammation and necrosis with fever, lethargy and poor oral intake. The management included intravenous antibiotics and repeated surgical debridement. The infection healed by 2-3 weeks in all cases, resulting in cicatricial ectropion and lagophthalmos. Full thickness skin grafting (with a Hughes tarso-conjunctival graft in one child) was performed in all patients at 3-5 weeks subsequently. Repeat surgery was required in three children. Adequate globe coverage and cosmesis was achieved in five children. Conclusion: NF of eyelids is a potentially fatal infection that requires urgent and vigorous management and heals with sequelae that may need more than one surgical intervention over a period of time. Adequate cosmetic and functional outcomes can be achieved. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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