Sclerosing lipogranuloma of the eyelid: unusual complication following nasal packing in endoscopic sinus surgery.
An eyelid or orbital lipogranuloma can occur following nasal packing with liquid paraffin, petroleum jelly or an antibiotic-based cream. It usually presents a few weeks or months after the initial procedure. We present a report of three such cases of sclerosing lipogranuloma involving the eyelid, which occurred following a sinonasal surgery where nasal packing using petroleum jelly was performed. The typical clinical course and the classical histopathological features are highlighted. All cases were diagnosed by histopathological examination as sclerosing lipogranuloma. Complete surgical removal resulted in complete resolution on 1 month follow-up. The diagnosis is based on a high degree of suspicion following a detailed history of prior use of lipid-based products for nasal packing following endonasal surgery. Histopathology is diagnostic. Surgical excision is the treatment of choice, however, due to its infiltrative nature, it may be difficult to obtain a complete cure.
Department of Otorhinolaryngology, Kasturba Medical College, Manipal University, Manipal, India.
Balakrishnan
B
Ramaswamy
Department of Otorhinolaryngology, Kasturba Medical College, Manipal University, Manipal, India.
Rohit
R
Singh
Department of Otorhinolaryngology, Kasturba Medical College, Manipal University, Manipal, India.
Manusrut
M
Manusrut
Department of Ophthalmology, Kasturba Medical College, Manipal University, Manipal, India.
Manali
M
Hazarika
D000328:Adult; D004724:Endoscopy; D005141:Eyelid Diseases / Q000473:pathology*; D005143:Eyelids / Q000473:pathology; D005260:Female; D006099:Granuloma / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity; D010232:Paraffin / Q000009:adverse effects; D010256:Paranasal Sinuses / Q000601:surgery*; D010577:Petrolatum / Q000009:adverse effects; D011183:Postoperative Complications / Q000473:pathology*; D012598:Sclerosis; D013630:Tampons, Surgical / Q000009:adverse effects*
D010232:Paraffin; D010577:Petrolatum