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Reconstructive considerations following a necrotic spider bite on the face: A case report
Joachim Mikkelsen1, Grethe Schmidt1, Rikke Holmgaard1
1Department of Plastic Surgery, Breast Surgery and Burns Treatment, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
International Journal of Surgery Case Reports
|March 5, 2017
Summary
Necrotic lesions from recluse spider bites are rare, especially in Central/Northern Europe. A simple full-thickness skin graft successfully reconstructed a facial defect in a young patient, avoiding complex surgery.
Area of Science:
- Dermatology
- Plastic Surgery
- Toxicology
Background:
- Necrotic skin and soft tissue lesions from spider bites are rare in Central and Northern Europe.
- Recluse spiders are known to cause necrotic lesions, posing reconstructive challenges in the facial region, particularly for younger patients.
Purpose of the Study:
- To report a case of facial necrotic lesion reconstruction following a suspected recluse spider bite.
- To discuss reconstructive considerations for facial defects in young patients.
Main Methods:
- Case report adhering to SCARE criteria.
- Description of a 19-year-old female with a nasal necrotic lesion after a suspected recluse spider bite.
- Reconstruction using a trimmed full-thickness skin graft.
Main Results:
- Successful reconstruction of a nasal defect with a single-stage full-thickness skin graft.
- Patient satisfaction with the primary reconstructive outcome.
- Avoidance of a planned second-stage reconstructive procedure.
Conclusions:
- Simple reconstructive solutions can yield aesthetically satisfactory results for facial defects caused by necrotic spider bites.
- Reconstructive surgery in younger patients requires careful consideration of age-related factors and aesthetic expectations.
- Active reconstructive measures generally lead to better outcomes in cases of facial necrotic spider bites.
