Abstract
Paraffinoma is a well-recognized complication of paraffin injection. We describe a 44-year-old man who had an ethmoidectomy for chronic sinusitis. A communicating fracture of the ethmoid bone into the orbit occurred intraoperatively. The nasal cavity was subsequently packed with gauze containing a petrolatum-based antibiotic ointment. Bilateral, periocular swelling developed 1 week later. Optical and electron microscopic studies revealed a paraffinoma.
MeSH terms
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Administration, Intranasal
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Adult
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Anti-Bacterial Agents / administration & dosage*
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Chronic Disease
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Ethmoid Bone / injuries
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Ethmoid Sinusitis / surgery
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Eyelid Diseases / chemically induced*
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Eyelid Diseases / diagnosis
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Eyelid Diseases / surgery
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Granuloma, Foreign-Body / chemically induced*
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Granuloma, Foreign-Body / diagnosis
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Granuloma, Foreign-Body / surgery
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Humans
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Intraoperative Complications / etiology
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Male
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Ointment Bases
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Orbital Diseases / chemically induced*
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Orbital Diseases / diagnosis
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Orbital Diseases / surgery
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Petrolatum / administration & dosage
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Petrolatum / adverse effects*
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Skull Fractures / complications
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Wound Infection / prevention & control
Substances
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Anti-Bacterial Agents
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Ointment Bases
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Petrolatum