A Case of Necrotizing Fasciitis of Lower Leg Following Mandible Angle Ostectomy.

Lee, Won; Kang, Sang Yoon; Hong, Sung Kwan; Lee, Seung Ryong; Cho, Sang Hun; Han, Byung Kee

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(5):663-666.
Published online September 1, 2005.

A Case of Necrotizing Fasciitis of Lower Leg Following Mandible Angle Ostectomy.

Won Lee, Sang Yoon Kang, Sung Kwan Hong, Seung Ryong Lee, Sang Hun Cho, Byung Kee Han

¹Department of Plastic and Reconstructive Surgery, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Seoul, Korea. sykang@cha.ac. kr
²Department of Internal Medicine, Division of Infectious Disease, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Seoul, Korea.

Abstract

Mandible angle ostectomy is the most widely-operated facial contour surgery. We experienced a rare case of necrotizing fasciitis of the lower leg following mandible angle ostectomy. A 20 years old female visited our department 5 days after mandible angle ostectomy. At the time, she was diagnosed as sepsis and on her 2nd admission day, she was diagnosed as necrotizing fasciitis on her left leg. She was treated by fasciotomy and necrotized tissue removal. Necrotizing fasciitis is a rare complication of any kinds of operation but once it develops, it causes fatal results, especially to cosmetic surgeries. Early diagnosis and aggressive operation is known as only treatment for the disease.

Keywords: Necrotizing fasciitis; Mandible angle ostectomy