Related Experiment Video
Updated: Dec 8, 2025
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Necrotizing fasciitis of the periorbital region: from presentation to reconstructive journey
Shameem A Haque1, Andreas Georgiou1, Hugo Henderson2
1Department of Plastic and Reconstructive Surgery, Royal Free Hospital, Pond Street, Hampstead, London, NW32QG UK.
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.
Insights
Periorbital necrotizing fasciitis is a rare, severe infection. Prompt surgical debridement and reconstruction are vital for preserving sight and life in affected patients.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Infectious Diseases
Background:
- Periorbital necrotizing fasciitis is a rare but devastating infection.
- It can lead to disfigurement, vision loss, and mortality.
- Early intervention is critical for favorable outcomes.
Observation:
- Two cases of periocular necrotizing fasciitis are presented.
- The study details disease progression and surgical management.
- Both pre-septal and post-septal disease involvement were addressed.
Findings:
- Surgical debridement is essential for managing sight- or life-threatening cases.
- Reconstructive surgery presents significant challenges.
- Successful outcomes depend on timely and comprehensive surgical intervention.
Implications:
- Highlights the importance of prompt diagnosis and aggressive surgical management.
- Informs surgical approaches for debridement and reconstruction in periocular necrotizing fasciitis.
- Emphasizes the multidisciplinary approach required for optimal patient care.
