Necrotizing periorbital cellulitis following septorhinoplasty

Moscona, Rony; Ullmann, Yehuda; Peled, Isaac J.

doi:10.1007/bf02273854

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…2007) and colchicine (Dickenson & Yates 2002) predisposed some patients to periorbital NF. Among the surgeries that led to NF were one ENT procedure (Moscona et al. 1991), two dental procedures (Marshall et al.…”

Section: Resultsmentioning

confidence: 99%

Periorbital necrotizing fasciitis - a review

2012

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. Necrotizing fasciitis (NF) is a severe infection characterized by rapidly progressing necrotizing infection of the superficial fascia with secondary necrosis of the overlying skin. Periorbital NF is uncommon because of the excellent blood supply to that area; nevertheless, it can sometimes result in death. The aim of this study is to present a systematic review and analyse the factors associated with death. We carried out a systematic literature review of all cases of periorbital NF published in the English language over the past 20 years and present the predisposing conditions, triggering factors, organisms causing NF, presence or absence of toxic shock and the prognosis. The significance of various risk factors leading to death was analysed. We traced a total of 94 patients with periorbital NF from 61 reports. There were no triggering incidents in 25 cases (26.6%). In 48 cases (51.1%), the organism responsible for NF was Group A beta haemolytic Streptococcus. Toxic shock occurred in 29 (30.9%) cases, and loss of vision in 13 (13.8%). Surgical debridement was carried out in 80 (85.1%) cases. There were eight cases (8.5%) of death. This seems to be less than previously reported figures. Toxic shock syndrome (p < 0.001), type 1 infections (p = 0.018), facial involvement (p = 0.032) and blindness because of periorbital NF (p = 0.035) were significantly associated with mortality. Mortality caused by NF arising from the periorbital area seems to be on the decline. However, it is important to recognize it early and institute treatment to avoid toxic shock that leads to death. Type 1 infections, although rare in periorbital area, are not associated with immunocompromised status and nevertheless carry a significant risk of mortality. Major morbidity is loss of vision followed by soft‐tissue defects affecting function and cosmesis.

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Section: Resultsmentioning

confidence: 99%

Periorbital necrotizing fasciitis - a review

2012

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Section: Discussionmentioning

confidence: 99%

“…Scarring of the intraorbital fascia may influence eyelid lengthening and may compromise eyelid and eyebrow motility [37,38]. Ectropion, exposure keratitis, and contracture are complications associated with secondary intention healing and can require reconstructive procedures such as split-or full-thickness skin grafts or Z-plasties [20,22,23,39,40]. Indeed, our patient presented no signs of systemic infection at the moment of admission (fever, leukocytosis, and elevated C-reactive protein); however, because of the characteristics of early skin necrosis, the general practitioner started intravenous antibiotics and asked for an ophthalmological evaluation.…”

Section: Discussionmentioning

confidence: 99%

Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report

Rossetto

Forno

Morales

et al. 2021

Case Rep Ophthalmol

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We reported a case of upper eyelid necrosis initially misdiagnosed as a preseptal cellulitis following a hordeolum externum resulting in great damage to the upper eyelid (anterior lamella). The infection was successfully treated with surgical cleansing, drainage, and endovenous antibiotics. Early treatment may avoid severe complications such as eyelid deformity, systemic involvement, and blindness.

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“…The presence of orbital, subconjunctival, and subcutaneous emphysema may be due to air from the nasal cavity entering between the loose tissue planes of the orbit after fracture of the orbital wall(s). 4,5 Emphysema may be subcutaneous, subconjunctival, orbital, or any combination of these. Most occurrences of orbital emphysema require no specific treatment because the process is self-limiting, with an approximate duration of 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

Periorbital Subcutaneous Emphysema in Rhinoplasty

Charles-de-Sá

Faria

Benedetti

et al. 2014

Aesthetic Surgery Journal

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In this article, the authors present a case of postrhinoplasty periorbital subcutaneous emphysema in a 35-year-old woman. This is an uncommon and benign rhinoplasty complication that can sometimes result from other pathologies such as barotrauma, hematoma, and allergic reaction. This patient's symptoms appeared to be a result of postanesthesia agitation. The patient's symptoms resolved after 1 week.

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Necrotizing periorbital cellulitis following septorhinoplasty

Cited by 9 publications

References 13 publications

Periorbital necrotizing fasciitis - a review

Periorbital necrotizing fasciitis - a review

Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report

Periorbital Subcutaneous Emphysema in Rhinoplasty

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