Negative Pressure Wound Therapy: An Adjunct in Reconstructing Large Periocular Defects From Necrotizing Fasciitis

Area of Science:

• Ophthalmology
• Plastic Surgery
• Wound Healing

Background:

• Necrotizing fasciitis (NF) is a severe soft tissue infection.
• Periocular NF presents significant challenges for reconstruction.
• Early and effective management is crucial for preserving function and aesthetics.

Purpose of the Study:

• To demonstrate the utility of negative pressure wound therapy (NPWT) in managing large periocular tissue defects.
• To showcase NPWT combined with other reconstructive techniques for periocular NF.
• To evaluate the safety and efficacy of this approach.

Main Methods:

• Case series describing three patients with periocular NF.
• Surgical debridement followed by NPWT application.
• Subsequent reconstruction using skin grafts, muscle flaps, and biodegradable matrices.

Main Results:

• NPWT promoted wound granulation and contraction, facilitating reconstruction.
• All patients achieved excellent functional and aesthetic outcomes within 6-9 months.
• No ophthalmic complications were observed post-treatment.

Conclusions:

• NPWT is a safe and effective adjunct in the complex reconstruction of periocular defects caused by NF.
• The described technique offers a viable solution for challenging periocular tissue loss.
• Successful outcomes highlight the importance of multidisciplinary management.