Streptococcal periorbital necrotizing fasciitis: Case series on a rare but potentially life-threatening entity

Based on the negative experience with our first case, we developed a more aggressive surgical plan for cases with periorbital NSTI. After early debridement, the patient is surgically reevaluated on a daily basis until surgery is deemed to have been unnecessary. We follow this approach, as necrotic tissue is sometimes identified intraoperatively from a lack of resistance to manipulation rather than from its clinical aspect alone. At a later point, plastic surgery may be required when the infection is under control.