RESUMO
Ecthyma gangrenosum (EG) is a cutaneous infection which usually occurs in immunocompromised patients. We report a case of EG of the eyelid treated with escharotomy and skin grafting, highlighting the importance of surgical management. A 2-year-old Asian Indian female presented to us with right upper lid edema with a large necrotic area. The child received intravenous cefotaxime for a week and the necrotic area turned to a well-defined eschar. Escharotomy with wound debridement and skin grafting was done. The present case highlights the importance of surgical intervention to prevent the sequelae of scarring of upper lid.
Assuntos
Ectima/microbiologia , Infecções Oculares Bacterianas/microbiologia , Doenças Palpebrais/microbiologia , Dermatopatias Bacterianas/microbiologia , Infecções Estafilocócicas/microbiologia , Antibacterianos/uso terapêutico , Cefotaxima/uso terapêutico , Pré-Escolar , Desbridamento , Ectima/diagnóstico , Ectima/terapia , Infecções Oculares Bacterianas/diagnóstico , Infecções Oculares Bacterianas/terapia , Doenças Palpebrais/diagnóstico , Doenças Palpebrais/terapia , Feminino , Humanos , Infusões Intravenosas , Procedimentos de Cirurgia Plástica , Dermatopatias Bacterianas/diagnóstico , Dermatopatias Bacterianas/terapia , Transplante de Pele , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/terapiaRESUMO
OBJECTIVE: To study and discuss role of external tissue expansion and wound closure (ETEWC) technique using hooks and rubber bands. MATERIALS AND METHODS: The present study is a retrospective analysis of nine cases of wounds of different aetiology where ETEWC technique was applied using hooks and rubber bands. RESULTS: All the wounds in the study healed completely without split thickness skin graft (SSG) or flap. CONCLUSION: ETEWC technique using hooks and rubber bands is a cost-effective technique which can be used for wound closure without SSG or flap.
