A rare complication of endoscopic sinüs surgery: necrotizing fasciitis of the eyelid

Yıl 2004, Cilt: 12 Sayı: 1, 51 - 53, 15.03.2004

Canser Yılmaz Demir Ülkü Köhle

Öz

Necrotizing fasciitis is a soft tissue infection charac- terised by necrosis of fascia and subcutaneous tissue.İt frequently involves the groin, abdomen and lower extremities, but rarely involves the head and neck region. An unusual occurence of periorbital necrotizing fasciitis after a routine endoscopic sinüs surgery in a 57-year-old woman with a history of type II diabetes mellitus is presented. Although the disease is very rare, ali the physicians should be aware of the manifestations of this disorder and its treatment. Early recognition and prompt intervention plays an important role in minimizing the morbidity and mortality rates.

Anahtar Kelimeler

Eyelid diseases/pathology/etiology, fasciitis/ pathology, paranasal sinuses/surgery/endoscopy/complications

Endoskopik sinüs cerrahisinin nadir bir komplikasyonu: Gözkapağı nekrotizan fasiiti

Öz

Nekrotizan fasiit cilt altı doku ve fasyanın nekrozu ile kendini gösteren bir yumuşak doku enfeksiyonudur. İngüinal bölge, karın ve alt ekstremitelerde daha sık rastlansa da, baş ve boyun bölgesinde de nadiren görülür. Tip II diabetes mellitus öyküsü olan ve en- doskopik sinüs cerrahisi yapılmış 57 yaşındaki bir kadın hastada periorbital nekrotizan fasiit olgusu su- nuldu. Hastalık nadir görülse de tüm hekimlerin bu hastalığın belirtileri ve tedavisi hakkında bilgi sahibi olmaları gerekir. Erken tanı ve zamanında müdaha- le, morbidite ve mortalite oranlarını azaltmada önemli rol oynar

Anahtar Kelimeler

Gözkapağı hastalıkları/patoloji/ etyoloji, fasiit/patoloji, paranazal sinüsler/cerrahi/ endoskopi/komplikasyon

Kaynakça

• Ray AM, Bressler K, Davis RE, Gallo JF, Patete ML. Cervicofacial necrotizing fasciitis. A devastating com- plication of blepharoplasty. Arch Otolaryngol Head Neck Surg 1997;123:633-6.
• Rosenthal WN, Gore HL, Insler MS. Periorbital necro- tizing fasciitis. Ann Ophthalmol 1987;19:426-7.
• Spankus EM, Flint PW, Smith RJ, Miller RH. Craniocervical necrotizing fasciitis. Otolaryngol Head Neck Surg 1984;92:261-5.
• Jayamanne DG, Bell RW, Allen ED. Orbital cellulitis: an unusual presentation and late complication of severe facial trauma. Br J Oral Maxillofac Surg 1994;32:187-9.
• Bergin DJ, Wright JE. Orbital cellulitis. Br J Ophthalmol 1986;70:174-8.
• Mills RP, Kartush JM. Orbital wall thickness and the spread of infection from the paranasal sinuses. Clin Otolaryngol 1985;10:209-16.
• Schwartz WN. Cellulitis and subcutaneous soft tissue infections. In: Mandel GL, Bennett JE, Dolin R, editors. Mandel, douglas and bennett’s principles and prac- tices of infectious disease. 4th ed. New York: Churchill Livingstone; 1995. p. 909-29.
• Bisno AL, Stevens DL. Streptococcal infections of skin and soft tissues. N Engl J Med 1996;334:240-5.
• Lowry JC, Bartley GB. Complications of blepharoplas- ty. Surv Ophthalmol 1994;38:327-50.
• O’Brien TF. Global surveillance of antibiotic resistance. N Engl J Med 1992;326:339-40.
• Einarsson OJ, Pers M. Streptococcal gangrene of the eyelids. Case reports. Scand J Plast Reconstr Surg 1986;20:331-5.
• Suner IJ, Meldrum ML, Johnson TE, Tse DT. Necrotizing fasciitis after cosmetic blepharoplasty. Am J Ophthalmol 1999;128:367-8.