A Case of Periocular Necrotizing Fasciitis of Odontogenic Origin.

Hwang, Hyung Bin; Doh, Sang Hee; Yang, Suk Woo

doi:2008.49.6.993

J Korean Ophthalmol Soc > Volume 49(6); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(6):993-999.
DOI: https://doi.org/10.3341/jkos.2008.49.6.993 Published online June 15, 2008.

A Case of Periocular Necrotizing Fasciitis of Odontogenic Origin.

Hyung Bin Hwang, Sang Hee Doh, Suk Woo Yang

¹Department of Ophthalmology, Kangnam St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Kore. yswoph@hanmail.net
²Department of Ophthalmology, St. Paul Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
³Department of Ophthalmology, St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

치성 감염에서 비롯된 눈주위 괴사성 근막염 1예

황형빈³ㆍ도상희²ㆍ양석우¹

Department of Ophthalmology, Kangnam St. Mary Hospital, College of Medicine, The Catholic University of Korea1, Seoul, Korea / Department of Ophthalmology, St. Paul Hospital, College of Medicine,The Catholic University of Korea2, Seoul, Korea / Department of Ophthalmology, St. Mary Hospital, College of Medicine, The Catholic University of Korea3, Seoul, Korea

Abstract

PURPOSE
We report a case of periocular necrotizing fasciitis originating from dontogenic infection. CASE SUMMARY: A 53-year-old man, who had suffered from severe periodontitis one week prior, visited our clinic due to a 2-day history of rapidly progressing left mandibular and periorbital swelling and pain. By the time of his visit, he had lost vision in the left eye and had moderate swelling, expression of pus, and skin explosion with necrotizing discoloration of the left lid and lower facial area. MRI of the orbits revealed soft tissue necrosis, gas accumulation, and subperiosteal abscess formation of the left orbit. CONCLUSIONS: Through the diagnosis of necrotizing fasciitis originating from an odontogenic infection, the proper administration of antibiotics and surgical management were achieved. As a result, we were able to preserve the eye.

Key Words: Acute periorbital necrotizing fasciitis;Odontogenic infection