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June 1997

Cervicofacial Necrotizing Fasciitis: A Devastating Complication of Blepharoplasty

Author Affiliations

From the Department of Otolaryngology, University of Miami School of Medicine, Miami, Fla. Dr Ray is now with the Department of Otolaryngology, The Johns Hopkins University School of Medicine, Baltimore, Md, and Dr Patete is in private practice, Orlando, Fla.

Arch Otolaryngol Head Neck Surg. 1997;123(6):633-636. doi:10.1001/archotol.1997.01900060083014

We report a case of cervicofacial necrotizing fasciitis that developed after blepharoplasty, an occurrence that, to our knowledge, has not previously been reported in the medical literature. A patient who presented to our institution 3 days after undergoing blepharoplasty of the upper eyelid was diagnosed as having fulminant fasciitis involving extensive areas of the face, scalp, and neck. We review the case in detail and discuss clinical and radiological clues to diagnosis, surgical and medical management, wound care, and subsequent scar contracture. This case emphasizes the need for individualized, appropriate postoperative care and for an awareness of this rare, potentially fatal complication. Early recognition and aggressive treatment of cervicofacial fasciitis can arrest its rapid progression and prevent devastating sequelae.

Arch Otolaryngol Head Neck Surg. 1997;123:633-636

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