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  • Title: Periorbital necrotising fasciitis in infants: Presentation and management of six cases.
    Author: Khurana S, Pushker N, Naik SS, Changole MD, Ghonsikar V, Bajaj M.
    Journal: Trop Doct; 2015 Jul; 45(3):188-93. PubMed ID: 25786437.
    Abstract:
    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.
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