Orbital and palpebral paraffinoma.
Paraffinoma is a well-recognized complication of paraffin injection. We describe a 44-year-old man who had an ethmoidectomy for chronic sinusitis. A communicating fracture of the ethmoid bone into the orbit occurred intraoperatively. The nasal cavity was subsequently packed with gauze containing a petrolatum-based antibiotic ointment. Bilateral, periocular swelling developed 1 week later. Optical and electron microscopic studies revealed a paraffinoma.
Feldmann
R
R
Hôpital Cantonal Universitaire, Genève, Switzerland.
Harms
M
M
Chavaz
P
P
Salomon
D
D
Saurat
J H
JH
D000281:Administration, Intranasal; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002908:Chronic Disease; D005004:Ethmoid Bone / Q000293:injuries; D015521:Ethmoid Sinusitis / Q000601:surgery; D005141:Eyelid Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D015745:Granuloma, Foreign-Body / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D009823:Ointment Bases; D009916:Orbital Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D010577:Petrolatum / Q000008:administration & dosage / Q000009:adverse effects*; D012887:Skull Fractures / Q000150:complications; D014946:Wound Infection / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D009823:Ointment Bases; D010577:Petrolatum