[Sclerosing lipogranulomatosis of the eyelids after ethmoid sinus surgery: a complication after ointment tamponade!].
We report on an instructive case of an infrequent but severe complication after paranasal sinus surgery. The use of ointment-covered nasal packing for haemostasis can cause inoculation of ointment into the orbita, if the medical orbital wall has been injured intraoperatively. A postoperative intraorbital haematoma may spread ointment droplets into subcutaneous tissues of the eyelid and cause local sclerosing lipogranulomatosis. The case reported here underlines the resulting therapeutical problems as have been mentioned in the literature. Only complete excision of the lipogranuloma can prevent recurrences. We conclude that ointment should not be used with nasal packings after paranasal sinus surgery if an intraoperative lesion of the orbital wall is likely to occur.
Universitäts-Hals-Nasen-Ohrenklinik Heidelberg.
A J
AJ
Tasman
U
U
Faller
P
P
Möller
D000281:Administration, Intranasal; D002751:Chlortetracycline / Q000008:administration & dosage / Q000009:adverse effects*; D005005:Ethmoid Sinus / Q000601:surgery*; D005141:Eyelid Diseases / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D005143:Eyelids / Q000473:pathology / Q000601:surgery; D005260:Female; D006101:Granuloma, Giant Cell / Q000139:chemically induced* / Q000473:pathology; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D009298:Nasal Polyps / Q000601:surgery*; D009824:Ointments; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery*; D012086:Reoperation
D009824:Ointments; D002751:Chlortetracycline
Sklerosierende Lipogranulomatose der Augenlider nach Siebbeinoperation: eine Komplikation nach Salbentamponade!