Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report
ABSTRACTHyaluronic 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.Blepharopto...
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Veröffentlicht in: | Annals of plastic surgery 2013-10, Vol.71 (4), p.333-334 |
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creator | Kwon, Seung Gee Hong, Jong Won Roh, Tai Suk Kim, Young Seok Rah, Dong Kyun Kim, Sung Soo |
description | ABSTRACTHyaluronic 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. |
doi_str_mv | 10.1097/SAP.0b013e31824f21da |
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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.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/SAP.0b013e31824f21da</identifier><identifier>PMID: 23203244</identifier><language>eng</language><publisher>United States: by Lippincott Williams & Wilkins</publisher><subject>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</subject><ispartof>Annals of plastic surgery, 2013-10, Vol.71 (4), p.333-334</ispartof><rights>2013 by Lippincott Williams & Wilkins</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305a-ddf653086c376a8d8647c4e0d4d23d880caf47f97b8e72f6d880b0f279b637cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23203244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwon, Seung Gee</creatorcontrib><creatorcontrib>Hong, Jong Won</creatorcontrib><creatorcontrib>Roh, Tai Suk</creatorcontrib><creatorcontrib>Kim, Young Seok</creatorcontrib><creatorcontrib>Rah, Dong Kyun</creatorcontrib><creatorcontrib>Kim, Sung Soo</creatorcontrib><title>Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report</title><title>Annals of plastic surgery</title><addtitle>Ann Plast Surg</addtitle><description>ABSTRACTHyaluronic acid filler injection is widely used for soft tissue augmentation. 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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.</description><subject>Biocompatible Materials - administration & dosage</subject><subject>Cosmetic Techniques - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Hyaluronic Acid - administration & dosage</subject><subject>Injections, Subcutaneous</subject><subject>Necrosis - etiology</subject><subject>Nose</subject><subject>Oculomotor Nerve Diseases - diagnosis</subject><subject>Oculomotor Nerve Diseases - etiology</subject><subject>Retinal Artery Occlusion - diagnosis</subject><subject>Retinal Artery Occlusion - etiology</subject><subject>Skin - pathology</subject><subject>Young Adult</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9uEzEYxC0EoqHwBgj5yGWL_8V2uK2ilkaqaEWB68prf1bcetfB3m0VXoDXxlEKBw6cLI1-M588g9BbSs4oWakPt-3NGekJ5cCpZsIz6swztKBLLhuuiH6OFoQK3Sgi-Al6VcodIZRpIV-iE8YZ4UyIBfq1KXYLQ7D42s4xDWlKGX-G_AD4xsSyx2Z0-PY-jFW0OZVQ8NrMBRzu9_i7KdVkMj4f-hTDTzOFNOLWT5Dx5d7EOaexJrc2OHwRYqzyZrwDe8A-4rYmFcBfYJfy9Bq98PUevHl6T9G3i_Ov68vm6vrTZt1eNZaTpWmc83LJiZaWK2m001IoK4A44Rh3WhNrvFB-pXoNinl5kHrimVr1kivr-Cl6f8zd5fRjhjJ1QygWYjQjpLl0VHAma4daV1Qc0cO_Swbf7XIYTN53lHSHCbo6QffvBNX27unC3A_g_pr-dF4BfQQeU6xNlfs4P0LutmDitP1_9m8fwpZ7</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Kwon, Seung Gee</creator><creator>Hong, Jong Won</creator><creator>Roh, Tai Suk</creator><creator>Kim, Young Seok</creator><creator>Rah, Dong Kyun</creator><creator>Kim, Sung Soo</creator><general>by Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report</title><author>Kwon, Seung Gee ; Hong, Jong Won ; Roh, Tai Suk ; Kim, Young Seok ; Rah, Dong Kyun ; Kim, Sung Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305a-ddf653086c376a8d8647c4e0d4d23d880caf47f97b8e72f6d880b0f279b637cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biocompatible Materials - administration & dosage</topic><topic>Cosmetic Techniques - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Hyaluronic Acid - administration & dosage</topic><topic>Injections, Subcutaneous</topic><topic>Necrosis - etiology</topic><topic>Nose</topic><topic>Oculomotor Nerve Diseases - diagnosis</topic><topic>Oculomotor Nerve Diseases - etiology</topic><topic>Retinal Artery Occlusion - diagnosis</topic><topic>Retinal Artery Occlusion - etiology</topic><topic>Skin - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwon, Seung Gee</creatorcontrib><creatorcontrib>Hong, Jong Won</creatorcontrib><creatorcontrib>Roh, Tai Suk</creatorcontrib><creatorcontrib>Kim, Young Seok</creatorcontrib><creatorcontrib>Rah, Dong Kyun</creatorcontrib><creatorcontrib>Kim, Sung Soo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwon, Seung Gee</au><au>Hong, Jong Won</au><au>Roh, Tai Suk</au><au>Kim, Young Seok</au><au>Rah, Dong Kyun</au><au>Kim, Sung Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2013-10</date><risdate>2013</risdate><volume>71</volume><issue>4</issue><spage>333</spage><epage>334</epage><pages>333-334</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><abstract>ABSTRACTHyaluronic acid filler injection is widely used for soft tissue augmentation. 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subjects | 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 |
title | Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection: A Case Report |
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