Multidisciplinary management of periocular necrotising fasciitis: a series of 11 patients
| Autor: | Raghavan Sampath, K Tambe, A Tripathi, Joyce Burns |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Necrotising fasciitis Cohort Studies Young Adult Postoperative Complications Ptosis medicine Eyelid Diseases Humans Fasciitis Necrotizing Young adult Child Aged Aged 80 and over Debridement business.industry Soft Tissue Infections Fascia Middle Aged medicine.disease Surgery Anti-Bacterial Agents Ophthalmology medicine.anatomical_structure Child Preschool Clinical Study Skin grafting Female medicine.symptom business Cohort study Follow-Up Studies |
| Popis: | Necrotising fasciitis is an uncommon but life-threatening soft tissue infection characterised by rapidly spreading inflammation and necrosis of skin, subcutaneous fat and fascia. Left untreated, the mortality can be more than 70%. Early surgical intervention can reduce morbidity and mortality. This is a series of 11 patients who presented to our oculoplastic and orbit unit with periocular necrotising fasciitis over a period of five years. We present the modes of presentation, predisposing factors, diagnosis, and the multidisciplinary team management of these patients. Of the 11 patients, 1 patient died and 2 patients required intensive care management. Of the 10 surviving patients, 8 patients needed further surgical interventions for correction of complications, like eyelid malposition, ptosis and protective or corrective surgery in the form of ectropion correction, skin grafting and other rehabilitative procedures. To the best of our knowledge, this is the largest series of periocular necrotising fasciitis in the literature. Necrotising fasciitis is a potentially fatal condition, resulting in a high rate of mortality and morbidity. Early surgical intervention reduces the mortality. A high index of suspicion is needed to make a prompt diagnosis. These patients need expeditious intervention and may require a long follow-up and subsequent surgery for complications related to scarring and other sequelae. |
| Databáze: | OpenAIRE |
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