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Hudbesparende kirurgi hos en kvinde med nekrotiserende fascitis i ansigtet

Pia Cajsa ten Voorde, Line Bro Breiting & Liselotte Sabroe Ebbesen Klinik for Plastikkirurgi, Brystkirurgi og Brandsårsbehandling, Rigshospitalet Ugeskr Læger 2015;177:V10140567
Ugeskr Læger 2015;177:V10140567
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Skin-sparing surgical revision in a woman with necrotizing fasciitis in her face
Necrotizing fasciitis (NF) is a life-threatening infection which is treated with aggressive debridement, antibiotics, intensive care and hyperbaric oxygen. We present a case where a 66-year-old woman with NF of the face and neck following an eye infection was treated with skin-sparing surgical revision. The affected subcutaneous tissue as well as necrosis around the left eye was removed, but the skin was left untouched. She was recon­structed with a full-skin transplant periorbitally. We suggest using a skin-sparing technique when the skin is unaffected and vital as a means to reduce morbidity.
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