Lipogranuloma: a preventable complication of dacryocystorhinostomy.
This report describes the unusual occurrence of lipogranuloma at the incision site of dacryocys-torhinostomy. Four patients had soft cystic masses after external dacryocystorhinostomy for acquired nasolacrimal duct obstruction. This was attributed to the antibiotic ointment vehicle that coated the petroleum jelly-impregnated gauze placed intranasally to prevent epistaxis. Postoperatively, all four patients had an encapsulated cystic mass within 3 weeks. Three of the masses were excised under local anesthesia and one was aspirated. None of the masses recurred.
Kerendian
J
J
Department of Ophthalmology, White Memorial Medical Center, Los Angeles, CA 90033, USA.
Conn
H
H
D000328:Adult; D000368:Aged; D003608:Dacryocystorhinostomy / Q000009:adverse effects*; D005260:Female; D006099:Granuloma / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D006801:Humans; D007767:Lacrimal Duct Obstruction / Q000473:pathology; D008055:Lipids; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control
D008055:Lipids