J Korean Ophthalmol Soc > Volume 49(8); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(8):1330-1334.
DOI: https://doi.org/10.3341/jkos.2008.49.8.1330    Published online August 15, 2008.
Late-onset Migrated Inflammatory Granuloma After Collagen-Containing Filler Injection.
Young Joon Jo, Deok Goo Lee, Sung Bok Lee
1Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea. sblee@cnu.ac.kr
2Chungnam National University Research Institute for Medical Sciences, Daejeon, Korea.
콜라겐 함유 피부주입물 주사 후 수년이 지나 다른 부위에 발생한 염증성 육아종
조영준1ㆍ이덕구1ㆍ이성복1,2
Department of Ophthalmology, College of Medicine, Chungnam National University1, Daejeon, Korea / Chungnam National University Research Institute for Medical Sciences2, Daejeon, Korea
Abstract
PURPOSE
To report a case of inflammatory granuloma in the right medial canthal area which occurred seven years after a cosmetic collagen-containing dermal filler injection in the forehead. CASE SUMMARY: A-47-year-old female, who had been treated with collagen-containing filler 7 years earlier, presented with a mass in the right medial canthal area discovered 20 days previously. There was mild tenderness and the mass was firm and not fixed. The patient reported that the size of the mass was slowly increasing. Orbital computed tomography and magnetic resonance imaging showed an approximate 1 cm-sized, poorly defined, enhancing nodular thickening without evidence of bony erosion. The mass was removed through a skin incision and unidentified foreign bodies were found around the mass. On histopathologic examination, it was diagnosed as inflammatory granuloma caused by foreign substances. CONCLUSIONS: Collagen-containing fillers are widely used in cosmetic surgery for their lasting effect and few complications. However some complications such as inflammatory granuloma may occur at the injection site or other sites, even several years after operation.
Key Words: Collagen;Filler;Granuloma


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