KHẢO SÁT ĐẶC ĐIỂM HOẠI TỬ CÂN MẠC VÙNG MẶT VÁ QUANH Ổ MẮT

Abstract

Introduction: Facial and periorbital necrotizing fasciitis is a rare disease. However, it progesses serious quickly and affects vision, high mortility of patients. Therefore, it is necessary to identify characteristics of facial and periorbital necrotizing fasciitis to help promt diagnosis and treatment to improve patient’s mortibility. Methods: Describe a series of cases, record clinical characteristics of patients with facial and periorbital necrotizing fasciitis and variables of patients at the Department of Ear, Nose and Throat - Cho Ray Hospital from 2/2022 to 1/2024. Results: We had 15 cases of craniofacial necrotizing fasciitis, of which 12 cases of periorbital necrotizing fasciitis and 3 cases of facial and periorbital necrotizing fasciitis. With common symptoms of swelling, redness around the eyes, drooping eyelids, deep pain in the eyes, limited eye movement (100%), decreased vision (60%), blindness (40%), periorbital and facial skin necrosis (20%). Pain deep in the eye is the most prominent and long-lasting symptom. The mortality was 20%, eye sequelae was 100%, and prolonged pain after surgery was 5/15 (33.3%). Conclusion: Facial and periorbital necrotizing fasciitis requires early identification and promt treatment can prevent severe progression and help patients recover early morbility. Beside it make to reduce mortality.