title: Under pressure: progressively enlarging facial mass following high-pressure paint injection injury.
abstract: High-pressure paint injection injuries are relatively rare industrial accidents and almost exclusively occur on the non-dominant hand. A rarely documented complication of these injuries is the formation of a foreign body granuloma. We report a case of a 33-year-old man presenting with extensive facial scarring and progressive right paranasal swelling 7 years after a high-pressure paint injury. After imaging investigations, an excision of the mass and revision of scarring was performed. Access to the mass was gained indirectly through existing scarring over the nose to ensure an aesthetic result. Histological analysis revealed a florid granulomatous foreign body reaction to retained paint. To the best of our knowledge, this is the first reported case of a facial high-pressure paint injury with consequent formation of a foreign body granuloma.
authors.affiliation: St George's University of London, London, UK.
authors.forename: Jameel
authors.initials: J
authors.lastname: Mushtaq
authors.affiliation: St George's University of London, London, UK.
authors.forename: Abigail
authors.initials: A
authors.lastname: Walker
authors.affiliation: St George's University of London, London, UK.
authors.forename: Ben
authors.initials: B
authors.lastname: Hunter
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D005145:Face / Q000473:pathology*; D005151:Facial Injuries / Q000150:complications*; D005547:Foreign Bodies / Q000150:complications*; D015745:Granuloma, Foreign-Body / Q000628:therapy; D006801:Humans; D007267:Injections; D008297:Male; D010150:Paint; D011312:Pressure