Sclerosing lipogranuloma of the eyelid

Unusual complication following nasal packing in endoscopic sinus surgery

Balakrishnan Ramaswamy, Rohit Singh, Manusrut Manusrut, Manali Hazarika

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Article number208093
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 06-03-2015

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Petrolatum
Eyelids
Nose
Nasal Surgical Procedures
Mineral Oil
Anti-Bacterial Agents
Lipids

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "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.",
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Sclerosing lipogranuloma of the eyelid : Unusual complication following nasal packing in endoscopic sinus surgery. / Ramaswamy, Balakrishnan; Singh, Rohit; Manusrut, Manusrut; Hazarika, Manali.

In: BMJ Case Reports, Vol. 2015, 208093, 06.03.2015.

Research output: Contribution to journalArticle

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