University Hospital Coventry and Warwickshire NHS Trust, United Kingdom.
Ophthalmic Plast Reconstr Surg. 2013 Jan-Feb;29(1):e18-20. doi: 10.1097/IOP.0b013e31825b34db.
Migration of dermal filler is a rare complication in the periocular area. We describe a case that highlights the diagnostic and therapeutic dilemmas posed. A patient presented with a bluish swelling involving the left brow, temple, and glabella. It was ill-defined, mobile, and nontender. An MRI suggested a vascular malformation, while an ultrasound suggested a dermoid. On further questioning, the patient revealed having a permanent polyalkylimide filler injected to the glabella 10 years ago. This raised the possibility of delayed migration. The eyebrow, temple, and glabella were explored through a skin-crease incision. Transparent gel was expressed and cicatrized granulomas were excised. The patient made an excellent recovery through an inconspicuous incision. This case emphasizes the importance of taking a detailed history and revisiting the diagnosis, if necessary. We describe a relatively scar-free approach to remove widely distributed migrated fillers. Clinical and radiologic features of migrated filler can mimic tumor.
在眼周区域，填充物迁移是一种罕见的并发症。我们描述了一个病例，强调了所面临的诊断和治疗难题。一位患者出现了累及左侧眉毛、太阳穴和额部的蓝色肿胀。该肿胀边界不清、可移动且无触痛。MRI 提示血管畸形，而超声提示皮样囊肿。进一步询问病史后，患者透露 10 年前曾在额部注射过永久性聚己内酯填充剂。这增加了延迟迁移的可能性。通过皮肤皱褶切口探查眉毛、太阳穴和额部。挤出透明凝胶，并切除了瘢痕性肉芽肿。通过一个不显眼的切口，患者恢复良好。该病例强调了详细询问病史和必要时重新诊断的重要性。我们描述了一种相对无疤痕的方法来去除广泛分布的迁移填充物。迁移填充物的临床和影像学特征可能类似于肿瘤。
