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Cervicofacial Necrotizing Fasciitis: A Devastating Complication of Blepharoplasty

1997; American Medical Association; Volume: 123; Issue: 6 Linguagem: Inglês

10.1001/archotol.1997.01900060083014

1538-361X

Anna M. Ray, Kyle L. Bressler, Richard E. Davis, Julio F. Gallo, Michael L. Patete,

Otolaryngology and Infectious Diseases

We report a case of cervicofacial necrotizing fasciitis that developed after blepharoplasty, an occurrence that, to our knowledge, has not previously been reported in the medical literature. A patient who presented to our institution 3 days after undergoing blepharoplasty of the upper eyelid was diagnosed as having fulminant fasciitis involving extensive areas of the face, scalp, and neck. We review the case in detail and discuss clinical and radiological clues to diagnosis, surgical and medical management, wound care, and subsequent scar contracture. This case emphasizes the need for individualized, appropriate postoperative care and for an awareness of this rare, potentially fatal complication. Early recognition and aggressive treatment of cervicofacial fasciitis can arrest its rapid progression and prevent devastating sequelae. Arch Otolaryngol Head Neck Surg. 1997;123:633-636