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Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report

Title
 Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report 
Authors
 Kwon, Seung Gee ; Hong, Jong Won ; Kim, Sung Soo ; Rah, Dong Kyun ; Kim, Young Seok ; Roh, Tai Suk 
Issue Date
2013
Journal Title
 Annals of Plastic Surgery 
ISSN
 0148-7043 
Citation
 Annals of Plastic Surgery, Vol.71(4) : 333~334, 2013 
Abstract
Hyaluronic acid filler injection is widely used for soft tissue augmentation. However, there can 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 after the injection, and skin necrosis gradually occurred. Symptoms and signs of oculomotor nerve palsy continuously improved with 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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87884
DOI
10.1097/SAP.0b013e31824f21da
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Plastic Surgery & Reconstructive Surgery
1. 연구논문 > 1. College of Medicine > Dept. of Ophthalmology
Yonsei Authors
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Link
 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000637-201310000-00005&LSLINK=80&D=ovft
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