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眶周坏死性筋膜炎：从发病到重建历程

Necrotizing fasciitis of the periorbital region: from presentation to reconstructive journey.

作者信息

Haque Shameem A, Georgiou Andreas, Henderson Hugo, Woollard Alexander

机构信息

Department of Plastic and Reconstructive Surgery, Royal Free Hospital, Pond Street, Hampstead, London, NW32QG UK.

Department of Ophthalmology, Royal Free Hospital, London, UK.

出版信息

Eur J Plast Surg. 2021;44(4):531-536. doi: 10.1007/s00238-020-01743-8. Epub 2020 Sep 15.

DOI:10.1007/s00238-020-01743-8
PMID:32952307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7490476/
Abstract

Periorbital necrotizing fasciitis is a very rare condition with a UK incidence of 0.24 cases per million per annum. Outcomes can range from disfigurement to sight loss and even death. Debridement is crucial when sight or life is threatened and the subsequent reconstructive stages can be challenging. We describe two cases of periocular necrotizing fasciitis demonstrating the progression of the disease as well as the surgical debridement for both pre-septal and post-septal disease and the reconstructive steps leading to outcome. Level of evidence: Level V, therapeutic study.

摘要

眶周坏死性筋膜炎是一种非常罕见的病症，在英国每年的发病率为百万分之0.24例。其后果可能从毁容到视力丧失甚至死亡。当视力或生命受到威胁时，清创术至关重要，而随后的重建阶段可能具有挑战性。我们描述了两例眼周坏死性筋膜炎病例，展示了疾病的进展情况以及针对眶隔前和眶隔后疾病的手术清创术以及导致最终结果的重建步骤。证据级别：V级，治疗性研究。

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