Article ; Online: The case of the eyelid silicone granulomas.
American journal of otolaryngology
2019 Volume 40, Issue 5, Page(s) 776–778
Abstract: Foreign body granulomas can develop even several years after autologous fat or filler injection. In some instances the foreign body granulomas have been found at sites other than the original injection site. We present a case of a 48-year-old male with ... ...
Abstract | Foreign body granulomas can develop even several years after autologous fat or filler injection. In some instances the foreign body granulomas have been found at sites other than the original injection site. We present a case of a 48-year-old male with reported "hyaluronic acid fillers" injected into his upper and lower eyelids several years prior. He subsequently developed periorbital swelling with negative allergic and rheumatologic workup. The patient ultimately underwent a blepharoplasty for improvement of the swelling. Histopathology suggested silicone granulomas of the upper and lower eyelid. This case illustrates the importance of keeping foreign body granulomas on the differential for all patients with a history of facial dermal filler injections. Although hyaluronic acid is the most common dermal filler, providers should suspect the use of other dermal fillers including those not FDA approved particularly when common conservative treatment methods are not sufficient. |
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MeSH term(s) | Biopsy, Needle ; Blepharoplasty/adverse effects ; Blepharoplasty/methods ; Dermal Fillers/adverse effects ; Follow-Up Studies ; Granuloma, Foreign-Body/etiology ; Granuloma, Foreign-Body/pathology ; Granuloma, Foreign-Body/surgery ; Humans ; Immunohistochemistry ; Male ; Middle Aged ; Risk Assessment ; Silicones/adverse effects ; Treatment Outcome |
Chemical Substances | Dermal Fillers ; Silicones |
Language | English |
Publishing date | 2019-05-14 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Review |
ZDB-ID | 604541-8 |
ISSN | 1532-818X ; 0196-0709 |
ISSN (online) | 1532-818X |
ISSN | 0196-0709 |
DOI | 10.1016/j.amjoto.2019.05.010 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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