Key Points
- Head and Neck necrotising fasciitis has a high morbidity and mortality
which requires prompt intervention, surgical debridement and potential
soft tissue reconstruction
- Periorbital cellulitis is a common presentation and is frequently
admitted under ENT specialist teams especially in the paediatric
population
- Peri-ocular necrotising fasciitis is a very rare clinical entity but
can be easily missed if a high index of suspicion is not maintained
- Knowledge of the underlying pathophysiological mechanisms is vitally
important when assessing patients with possible head and neck
necrotising fasciitis
- To our knowledge, peri-ocular necrotising fasciitis has not been
discussed in the otolaryngology literature previously