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Lipogranuloma: a preventable complication of dacryocystorhinostomy

Lipogranuloma: a preventable complication of dacryocystorhinostomy

Ophthalmic Surgery and Lasers 27(8): 713-715

ISSN/ISBN: 1082-3069

PMID: 8858639

This report describes the unusual occurrence of lipogranuloma at the incision site of dacryocys-torhinostomy. Four patients had soft cystic masses after external dacryocystorhinostomy for acquired nasolacrimal duct obstruction. This was attributed to the antibiotic ointment vehicle that coated the petroleum jelly-impregnated gauze placed intranasally to prevent epistaxis. Postoperatively, all four patients had an encapsulated cystic mass within 3 weeks. Three of the masses were excised under local anesthesia and one was aspirated. None of the masses recurred.

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Accession: 046553602

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