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
Hauptverfasser: Kwon, Seung Gee, Hong, Jong Won, Roh, Tai Suk, Kim, Young Seok, Rah, Dong Kyun, Kim, Sung Soo
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container_end_page 334
container_issue 4
container_start_page 333
container_title Annals of plastic surgery
container_volume 71
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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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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