Negative Pressure Wound Therapy in Preseptal Orbital Cellulitis Complicated With Necrotizing Fasciitis and Preseptal Abscess

Contreras‐Ruiz, José; Cadena, Maria de los Angeles Ramos; Solis-Arias, Patricia; Lozano-Platonoff, Adriana; López-García, Lirio; Contreras-Barrera, Martha E.; Saenz-Corral, Claudia; de-la-Cruz-Garcia, Isabel; Cárdenas-Mejía, Alexander; Lopez-Oliver, R.-D.

doi:10.1097/iop.0000000000000163

Cited by 11 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If not recognised and treated promptly, especially in the periorbital region, local tissue destruction, blindness, severe disfigurement, or intracranial extension leading to meningitis and venous sinus thrombosis, may ensue [7,9]. The overall mortality rate of PNF is 8.5%, secondary to septicaemia, shock, and multi-organ failure [1].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of Periorbital Necrotising Fasciitis Utilising Negative Pressure Wound Therapy: A Case Report

Waldie¹,

Lau²,

Hepschke³

et al. 2019

CTOY

View full text Add to dashboard Cite

Necrotising fasciitis is a fulminant, rapidly progressive infection associated with extensive tissue destruction and significant mortality. Given the robust blood supply of the face, periorbital necrotising fasciitis is rare in this region. Traditional management consists of prompt initiation of antibiotics and adequate surgical debridement. This report documents the outcome of Type 2 periorbital necrotising fasciitis in a 49-year-old, immunocompetent man, in whom negative pressure wound therapy, was combined with conventional measures. The negative pressure wound therapy was applied directly to the involved orbit, suggesting its safety and efficacy in relation to use over the orbit. Negative pressure wound therapy may be a useful adjunct to the armamentarium of the oculoplastic surgeon for the reconstruction of periorbital defects produced by the surgical debridement of periorbital necrotising fasciitis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…NPWT is a sealed wound-care system consisting of an electronically controlled pump and wound filler (foam) that is contoured to the wound and sealed with an occlusive airtight drape. A suction tube connected to a vacuum device via a canister is applied to the wound to deliver controlled negative pressure to the wound bed [4,7].…”

Section: Introductionmentioning

confidence: 99%

Management of Periorbital Necrotising Fasciitis Utilising Negative Pressure Wound Therapy: A Case Report

Waldie¹,

Lau²,

Hepschke³

et al. 2019

CTOY

View full text Add to dashboard Cite

show abstract

“…They found that NPWT helped to encourage granulation tissue development in the intervals between serial surgical debridements, and then served to bolster and support the skin grafts once they were placed. Contreras-Ruiz et al 6 presented a series of 4 patients with periocular necrotizing fasciitis who were treated with debridement and NPWT. Two of the 4 did not require any surgical reconstruction after NPWT.…”

Section: Discussionmentioning

confidence: 99%

Negative-pressure Wound Therapy for Periocular Necrotizing Fasciitis

Gillespie

Pandya

Agarwal

et al. 2018

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary:Periocular necrotizing fasciitis is a rare, but potentially blinding, or even fatal disease. The authors report a case of a 44-year-old man who presented with quiescent bilateral periocular and facial necrotizing fasciitis. The patient was treated with antibiotics and surgical debridement, followed by negative-pressure wound therapy (NPWT), until the wound bed was thought to be healthy enough to support bilateral upper eyelid full-thickness skin grafts. NPWT appeared to decrease local edema; speed reperfusion and granulation tissue formation; and served to stabilize the skin grafts against the wound bed, while not causing any ocular complications. NPWT can be a safe and effective adjunct treatment for periocular necrotizing fasciitis.

show abstract

“…Immunocompromised individuals are at higher risk [2]. Most cases are caused by the extension of sinusitis, but they can exceptionally result from odontogenic infection, trauma, or periocular surgeries [4,7]. Although the prognosis is generally favorable, orbital complications have been reported in 1.7-7% of cases [5][6][7][8][9].…”

Section: Figure 4: Appearance Of the Patient One Year After The Inter...mentioning

confidence: 99%

Orbital Cellulitis and Frontal Epicranial Empyema Secondary to Pansinusitis: A Case Report

Tousidonis,

Benito-Anguita,

Sada-Urmeneta

et al. 2023

Cureus

View full text Add to dashboard Cite

Orbital cellulitis is a relatively uncommon complication of sinusitis. Its association with intracranial complications is rare. We present the case of a 36-year-old patient with no associated risk factors who presented with a four-day history of headache, periorbital inflammation, suppuration, and necrosis. A computed tomography (CT) scan revealed a frontal epidural abscess and signs of chronic pansinusitis. This case highlights the importance of maintaining a high index of suspicion for complications of this condition and the necessity of a multidisciplinary approach in managing this rare complication.

show abstract

Negative Pressure Wound Therapy in Preseptal Orbital Cellulitis Complicated With Necrotizing Fasciitis and Preseptal Abscess

Cited by 11 publications

References 19 publications

Management of Periorbital Necrotising Fasciitis Utilising Negative Pressure Wound Therapy: A Case Report

Management of Periorbital Necrotising Fasciitis Utilising Negative Pressure Wound Therapy: A Case Report

Negative-pressure Wound Therapy for Periocular Necrotizing Fasciitis

Orbital Cellulitis and Frontal Epicranial Empyema Secondary to Pansinusitis: A Case Report

Contact Info

Product

Resources

About