Ray A M, Bressler K, Davis R E, Gallo J F, Patete M L
Department of Otolaryngology, University of Miami School of Medicine, Fla, USA.
Arch Otolaryngol Head Neck Surg. 1997 Jun;123(6):633-6. doi: 10.1001/archotol.1997.01900060083014.
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.
我们报告一例在眼睑成形术后发生的颈面部坏死性筋膜炎病例，据我们所知，这一情况此前在医学文献中尚未有过报道。一名患者在上眼睑进行眼睑成形术3天后前来我院就诊，被诊断为暴发性筋膜炎，累及面部、头皮和颈部的广泛区域。我们详细回顾了该病例，并讨论了诊断的临床和影像学线索、手术及药物治疗、伤口护理以及随后的瘢痕挛缩。该病例强调了术后个体化、适当护理的必要性，以及对这种罕见的、可能致命的并发症的认识。早期识别和积极治疗颈面部筋膜炎可阻止其快速进展并预防严重后果。
