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Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report.
MedLine Citation:
PMID:  23203244     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Hyaluronic acid filler injection is widely used for soft tissue augmentation. However, there could be disastrous complications by direct vascular embolization. We present a case of ischemic oculomotor nerve palsy and skin necrosis after hyaluronic acid filler injection on glabellar.Blepharoptosis, exotropia and diplopia developed suddenly right after the injection, and skin necrosis gradually occurred. Symptoms and signs of oculomotor nerve palsy were continuously improved through steroid therapy. Skin defects healed with minimal scars through intensive wound care.Percutaneous filler injection of periorbital areas should be performed carefully by experienced surgeons, and the possibility of embolization should be considered promptly if symptoms develop.
Authors:
Seung Gee Kwon; Jong Won Hong; Tai Suk Roh; Young Seok Kim; Dong Kyun Rah; Sung Soo Kim
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-29
Journal Detail:
Title:  Annals of plastic surgery     Volume:  -     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-12-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Department of Plastic and Reconstructive Surgery, Institute of Human Tissue Restoration, and †Department of Ophthalmology, College of Medicine, Yonsei University, Gangnam Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.
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