title: Periorbital necrotising fasciitis in infants: Presentation and management of six cases.
abstract: OBJECTIVE
  To present the clinical features and management of infants presenting with periorbital necrotising fasciitis (NF).
  
  
  METHODS
  Retrospective case series.
  
  
  RESULTS
  Six children were studied. The age at presentation was in the range of 5-11 months (median, 8 months). All children presented with acute onset eyelid inflammation and necrosis with fever, lethargy and poor oral intake. The management included intravenous antibiotics and repeated surgical debridement. The infection healed by 2-3 weeks in all cases, resulting in cicatricial ectropion and lagophthalmos. Full thickness skin grafting (with a Hughes tarso-conjunctival graft in one child) was performed in all patients at 3-5 weeks subsequently. Repeat surgery was required in three children. Adequate globe coverage and cosmesis was achieved in five children.
  
  
  CONCLUSIONS
  NF of eyelids is a potentially fatal infection that requires urgent and vigorous management and heals with sequelae that may need more than one surgical intervention over a period of time. Adequate cosmetic and functional outcomes can be achieved.
authors: Doctor, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors: Saurbhi
authors: S
authors: Khurana
authors: Professor, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India pushkern@hotmail.com.
authors: Neelam
authors: N
authors: Pushker
authors: Doctor, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors: Sreedhara S
authors: SS
authors: Naik
authors: Doctor, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors: Milind Devidas
authors: MD
authors: Changole
authors: Doctor, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors: Vishnukant
authors: V
authors: Ghonsikar
authors: Professor, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors: Mandeep
authors: M
authors: Bajaj
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D016038:Skin Transplantation
chemical_list: D000900:Anti-Bacterial Agents
keywords: Periorbital infections in infants; necrotising fasciitis of eyelids in young children; periorbital necrosis