{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:17:37Z","timestamp":1791962257634,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T00:00:00Z","timestamp":1468886400000},"content-version":"vor","delay-in-days":8875,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1992,4]]},"abstract":"<jats:p>Necrotizing fasciitis is a destructive soft tissue infection that rarely involves the eyelids. Three cases of necrotizing fasciitis of the eyelids are described. Necrotizing fasciitis was preceded by minor forehead soft tissue trauma in two cases and occurred spontaneously in one. In two patients necrotizing fasciitis was bilateral and involved both the upper and lower eyelids. Review of these cases, in addition to 18 cases previously reported in the English literature, reveals a predominance in females, preceding minor local soft tissue trauma, frequent bilateral involvement, and an association with alcohol abuse and diabetes. In all of the patients, group A \u03b2\u2010hemolytic streptococci were cultured from the wound. Early recognition of the disease process, prompt surgical debridement of the necrotic tissue, aggressive antimicrobial therapy, and delayed skin grafting combine to minimize morbidity.<\/jats:p>","DOI":"10.1177\/019459989210600404","type":"journal-article","created":{"date-parts":[[2017,1,28]],"date-time":"2017-01-28T03:58:05Z","timestamp":1485575885000},"page":"339-344","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Necrotizing Fasciitis of the Eyelids"],"prefix":"10.1002","volume":"106","author":[{"given":"Edwin M.","family":"Overholt","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Washington Seattle Washington"},{"name":"Gundersen Clinic La Crosse Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul W.","family":"Flint","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Washington Seattle Washington"},{"name":"Department of Otolaryngoiogy\u2014Head and Neck Surgery Johns Hopkins University Baltimore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin L.","family":"Overholt","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig S.","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,19]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Surgical memoires of the War of Rebellion","author":"Jones J","year":"1871"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1924.01120080083007"},{"key":"e_1_2_1_4_1","first-page":"416","article-title":"Necrotizing fasciitis","volume":"18","author":"Wilson B","year":"1952","journal-title":"Am Surg"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200303"},{"key":"e_1_2_1_6_1","first-page":"331","article-title":"Streptococcal gangrene of the eyelids","volume":"20","author":"Einarrson OJ","year":"1986","journal-title":"Scand J Plast Reconstr Surg"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.280.6229.1419-a"},{"key":"e_1_2_1_8_1","first-page":"381","article-title":"Necrotizing erysipelas of the eyelids","volume":"11","author":"Abbott RL","year":"1979","journal-title":"Ann Ophthalmol"},{"key":"e_1_2_1_9_1","first-page":"461","article-title":"Lid necrosis secondary to streptococcal periorbital cellulitis","volume":"13","author":"Scott PM","year":"1981","journal-title":"Ann Ophthalmol"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(87)90072-6"},{"key":"e_1_2_1_11_1","first-page":"426","article-title":"Periorbital necrotizing fasciitis","volume":"19","author":"Rosenthal WN","year":"1987","journal-title":"Ann Ophthalmol"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.101.6.664"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.120.1.63"},{"key":"e_1_2_1_14_1","first-page":"84","article-title":"Gangrene of the eyelids","volume":"5","author":"Ross J","year":"1973","journal-title":"Ann Ophthalmol"},{"key":"e_1_2_1_15_1","first-page":"27","article-title":"Gangrene of the eyelids","volume":"35","author":"Schott EG","year":"1966","journal-title":"Industr Med Surg"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.3.5979.355"},{"key":"e_1_2_1_17_1","first-page":"897","article-title":"Massive cellulitis of the scalp in persons with diabetes","volume":"80","author":"Moore JR","year":"1948","journal-title":"Arch Surg"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.48.2.114"},{"key":"e_1_2_1_19_1","volume-title":"Ophthalmic plastic surgery","author":"Fox SA","year":"1976"},{"key":"e_1_2_1_20_1","first-page":"438","article-title":"Suppurative fasciitis as the essential feature of hemolytic streptococcal gangrene","volume":"24","author":"McCafferty EL","year":"1948","journal-title":"Surgery"},{"key":"e_1_2_1_21_1","volume-title":"Anatomy for surgeons","author":"Hollinshead WH","year":"1968"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989210600404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989210600404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:51:06Z","timestamp":1760961066000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989210600404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,4]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1992,4]]}},"alternative-id":["10.1177\/019459989210600404"],"URL":"https:\/\/doi.org\/10.1177\/019459989210600404","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,4]]},"assertion":[{"value":"1991-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1991-12-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-07-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}