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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  ;  Roh, Tai Suk  ;  Kim, Young Seok  ;  Rah, Dong Kyun  ;  Kim, Sung Soo 
Citation
 ANNALS OF PLASTIC SURGERY, Vol.71(4) : 333-334, 2013 
Journal Title
 ANNALS OF PLASTIC SURGERY 
ISSN
 0148-7043 
Issue Date
2013
MeSH
Biocompatible Materials/administration & dosage* ; Cosmetic Techniques/adverse effects* ; Female ; Humans ; Hyaluronic Acid/administration & dosage* ; Injections, Subcutaneous ; Necrosis/etiology ; Nose ; Oculomotor Nerve Diseases/diagnosis ; Oculomotor Nerve Diseases/etiology* ; Retinal Artery Occlusion/diagnosis ; Retinal Artery Occlusion/etiology* ; Skin/pathology* ; Young Adult
Keywords
ischemic oculomotor nerve palsy ; ischemic 3rd nerve palsy ; ophthalmic artery embolization ; arterial embolization with filler ; hyaluronic acid filler
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.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000637-201310000-00005&LSLINK=80&D=ovft
DOI
10.1097/SAP.0b013e31824f21da
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Seung Gee(권승기)
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Kim, Young Seok(김영석) ORCID logo https://orcid.org/0000-0002-0981-2107
Rah, Dong Kyun(나동균)
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Hong, Jong Won(홍종원) ORCID logo https://orcid.org/0000-0002-7762-0940
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87884
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