Skip to main content

Advertisement

SpringerLink
Log in

Reconstruction of a fulminant necrotizing fasciitis of the face and neck with a dermal regeneration template

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

A case of a 69-year-old woman presenting with a fulminating group A streptococcal necrotizing fasciitis of the face and neck is presented. Survival of the patient was due to early recognition of the disease and radical debridement. Integra, a dermal regeneration template, was successfully applied to cover the left hemiface and neck as well as the bony orbit. Integra provided a result that can be favorably compared to other, often much longer and complicated, surgical procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Altintas M, Aydin Y, Yücel A (1998) Eye socket reconstruction with the prefabricated temporal island flap. Plast Reconstr Surg 102:980–987

    PubMed  CAS  Google Scholar 

  2. Andreasen TJ, Green SD, Childers BJ (2000) Massive infectious soft-tissue injury: diagnosis and management of necrotizing fasciitis and purpura fulminans. Plast Reconstr Surg 107:1025–1034

    Google Scholar 

  3. Bisno AL, Stevens DL (1996) Streptococcal infections of skin and soft tissues. N Engl J Med 334:240–245

    Article  PubMed  CAS  Google Scholar 

  4. Burke JF, Yannas IV, Quinby WC, Bondoc CC, Jung WK (1981) Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury. Ann Surg 194:413–428

    PubMed  CAS  Google Scholar 

  5. Dantzer E, Braye FM (2001) Reconstructive surgery using an artificial dermis (Integra): results with 39 grafts. Br J Plast Surg 54:659–664

    Article  PubMed  CAS  Google Scholar 

  6. Donckier V, Paduart O, de Fontaine S, Struelens M, Parent D, Goldschmidt D (1995) Fulminant group A streptococcal necrotizing fasciitis of the head and neck region. Eur J Plast Surg 18:249–251

    Article  Google Scholar 

  7. Sepulveda A, Sastre N (1997) Necrotizing fasciitis of the face and neck. Plast Reconstr Surg 102:814–817

    Google Scholar 

  8. Siemionow M, Agaoglu G (2005) Allotransplantation of the face: how close are we? Clin Plast Surg 32:401–409

    Article  PubMed  Google Scholar 

  9. Wilkerson MR, Paull CW, Coville CFV (1987) Necrotizing fasciitis. Review of the literature and case report. Clin Orthop Relat Res 216:187–192

    PubMed  Google Scholar 

  10. Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO (2003) Necrotizing fasciitis: clinical presentation, microbiology and determinants of mortality. J Bone Joint Surg Am 85A:1454–1460

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Erasme University Hospital, Brussels, Belgium

    C. Van Holder & S. Ortiz Carillo

  2. Department of Oral Surgery, Erasme University Hospital, Brussels, Belgium

    C. Malevez

  3. Department of Infectious Diseases, Erasme University Hospital, Brussels, Belgium

    F. Jacobs

  4. Department of Ophthalmology, Erasme University Hospital, Brussels, Belgium

    J. Lasudry

  5. Department of Plastic Surgery, Onze Lieve Vrouw van Lourdes Ziekenhuis, Vijfseweg 150, 8790, Waregem, Belgium

    C. Van Holder

Authors
  1. C. Van Holder
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Ortiz Carillo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Malevez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Jacobs
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. Lasudry
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Van Holder.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Van Holder, C., Carillo, S.O., Malevez, C. et al. Reconstruction of a fulminant necrotizing fasciitis of the face and neck with a dermal regeneration template. Eur J Plast Surg 29, 147–150 (2006). https://doi.org/10.1007/s00238-006-0068-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-006-0068-8

Keywords

Search

Navigation