Late Eyelid Reconstruction of Necrotizing Fasciitis

F. A. Muthie, Sutjipto

Research output: Contribution to journalConference articlepeer-review


Necrotizing fasciitis (NF) is a devastating severe infection. NF involving periorbital tissue is rarely found. We reported a 42-year-old woman with eyelid edema surrounded by necrotic tissue and pus production for about a week. LRINEC score was 6. Widespread local excision and debridement were urgently performed. Reconstruction performed two weeks after the onset. The rotational flap is taken from her forehead to prompt good skin remodeling and vascularization. A part of the flap slipped underneath the temporal skin. The flap was perfectly grown, and the eyelid function recovered. NF is a rare severe infection and rarely involves the periorbital area. Early recognition is critical. LRINEC score could be used, and urgent debridement is needed. Late skin flap could be a choice to cover the debrided skin and give a good aesthetic yet functional eyelid.

Original languageEnglish
Article number012170
JournalIOP Conference Series: Earth and Environmental Science
Issue number1
Publication statusPublished - 24 Feb 2020
Event2nd International Conference on Fisheries and Marine Science, InCoFiMS 2019 - Surabaya, Indonesia
Duration: 26 Sept 2019 → …


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