Lipogranuloma of Eyelids after Paranasal Sinus Surgery.

Son, M G; Kim, Y D

Original Article

Journal of the Korean Ophthalmological Society 1999;40(10):2935-2941.
Published online October 1, 1999.

Lipogranuloma of Eyelids after Paranasal Sinus Surgery.

M G Son, Y D Kim

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine.

부비동 수술 후 발생한 안검의 지방육아종 1 례

손무곤(Mu Gon Son),김윤덕(Yoon Duck Kim)

Abstract

We describe a 33-year-old man who complained of chronic swelling of the left eyelid developed after frontal sinus surgery for frontal sinusitis 6 years ago. Firm, movable,and nontender masses were palpated measuring 2 x1 cm in the left lower lid and 0.5 x0.8 cm in the left upper lid. T1-weighted magnetic resonance imaging showed multiple small high-signal structures changed to signal-void structures with fat suppression. We removed the mass from the left lower lid. Histologic examination showed features characteristic of a lipogranuloma. They consisted of lymphocytes, epithelioid cells, foam cells, and foreign body giant cells surrounding multiple irregular vacuoles. We report one case of a lipogranuloma as an unusual complication of sinus surgery possibly due to the intraoperative nasal packing with petroleum-jelly based ointments.

Key Words: Eyelid;Lipogranuloma;Paranasal sinus surgery