The acute necrotizing periorbital fasciitis. Clinical case
- 作者: Haritonova N.1, Gorbachev D.1, Safonov M.2, Kolbin A.1, Kulikov A.1, Kolke A.2, Batyrshin I.2, Zinoviev E.2
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隶属关系:
- S.M. Kirov Military Medical Academy
- I.I. Dzhanelidze St. Petersburg Scientific Research Institute of Ambulance
- 期: 卷 15, 编号 1 (2022)
- 页面: 69-76
- 栏目: Case reports
- URL: https://journals.rcsi.science/ov/article/view/100108
- DOI: https://doi.org/10.17816/OV100108
- ID: 100108
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详细
BACKGROUND: A rare severe, characterized by high mortality in some localizations (up to 70%) necrotizing periorbital fasciitis has not been described previously in the national literature.
AIM: to show a multidisciplinary approach to the treatment and rehabilitation of patients with periorbital necrotizing fasciitis on the example of the clinical case.
CLINICAL CASE: Patient with the acute necrotizing fasciitis of both eyelids, with the dissemination to the superficial face and neck fascies, the sepsis development is given. Monitoring of vital functions, homeostasis indicators, repeated inoculations, computed tomography, regular examination by an ophthalmologist included the control of visual functions, anterior and posterior segments, closure of the eye fissure. Conservative and surgical treatment applied by a multidisciplinary team is presented, which allowed to save the patient’s life, overpass the purulent-necrotic, and then the rough scar process and to achieve satisfactory anatomical and functional results.
CONCLUSION: Timely multidisciplinary treatment of periorbital necrotizing fasciitis is necessary for the life preservation, prevention of severe complications from the eye. With the threat of developing lagophthalmos, it is necessary to perform permanent blepharoraphy for 3–6 months after the first surgery and further surgical and pharmacological correction of scarring processes.
作者简介
Natalia Haritonova
S.M. Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: natal56@mail.ru
ORCID iD: 0000-0002-8550-7171
SPIN 代码: 9277-7406
Scopus 作者 ID: 55047042700
Researcher ID: N-3214-2016
Cand. Sci. (Med.), Assistant Professor of the Department of Ophthalmology
俄罗斯联邦, Saint PetersburgDmitriy Gorbachev
S.M. Kirov Military Medical Academy
Email: dmitrij-gor@yandex.ru
Cand. Sci. (Med.), Assistant Professor, Assistant of the Department of Ophthalmology
俄罗斯联邦, Saint PetersburgMaksim Safonov
I.I. Dzhanelidze St. Petersburg Scientific Research Institute of Ambulance
Email: Safonovmaksim@mail.ru
Surgeon of the Burn Department
俄罗斯联邦, Saint PetersburgAleksey Kolbin
S.M. Kirov Military Medical Academy
Email: zd97@mail.ru
SPIN 代码: 4718-5171
Head of the Purulent Department of the Ophthalmology Clinic of the Department of Ophthalmology
俄罗斯联邦, Saint PetersburgAlexey Kulikov
S.M. Kirov Military Medical Academy
Email: alexey.kulikov@mail.ru
ORCID iD: 0000-0002-5274-6993
SPIN 代码: 6440-7706
Scopus 作者 ID: 57001225300
Researcher ID: M-2094-2016
Dr. Sci. (Med.), Assistant Professor, Head of the Department of Ophthalmology
俄罗斯联邦, Saint PetersburgAlena Kolke
I.I. Dzhanelidze St. Petersburg Scientific Research Institute of Ambulance
Email: a.kolke@mail.ru
Plastic Surgeon of the Burn Department
俄罗斯联邦, Saint PetersburgIldar Batyrshin
I.I. Dzhanelidze St. Petersburg Scientific Research Institute of Ambulance
Email: Onrush@mail.ru
Head of the Department of Surgical Infections
俄罗斯联邦, Saint PetersburgEvgeny Zinoviev
I.I. Dzhanelidze St. Petersburg Scientific Research Institute of Ambulance
Email: evz@list.ru
Dr. Sci. (Med.), Professor, Chief freelance specialist-kombustiologist of the Ministry of Health
俄罗斯联邦, Saint Petersburg参考
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