Orbital and palpebral paraffinoma

Paraffinoma – A Complication Caused by Nasal Packing following Sinus Surgery

“…Injection of paraffin does not lead to development of a paraffinoma in all persons. The factors that promote an inflammatory reaction are not known [6]. The degree of Foghsgaard/Barfoed/Therkildsen reaction is proportional to the amount of oil injected; the tissue response develops slowly and is maximal after approximately 3 months [7].…”

Periocular Petrolatum

“…3 Eventually, marked fibrosis develops with characteristic multiple polymorphic lipid dropout spaces, frequently described as a "Swiss cheeselike" pattern. 1,3,[11][12][13]19 Occasionally these lesions may be clinically mistaken for malignancy 10,15 and lymphangioma. Ultrastructurally, these lesions appear as isolated or coalescing vacuoles inside macrophages and fibroblasts.…”

“…The factors that lead to the development of a symptomatic inflammatory response in rare patients remain unknown and may represent an idiosyncratic host response. 11,18 Humans apparently lack the enzymes needed to metabolize mineral oils and in rare cases develop a nonspecific, foreign-body, granulomatous inflammatory response irrespective of the type of mineral oil preparation used. The reaction develops slowly and usually is at its maximum at 3 months, although the delay in response has been reported to vary from weeks to decades.…”

Zur Begutachtung: Periorbitales Paraffingranulom nach Nasennebenhöhlenoperation

“…Nach der Literatur sind fol gende Möglichkeiten der Paraffineinbringung in die Ge sichtsweichteile beschrieben: ästhetische Gründe [ 1 ], zum Zwecke der Selbstbeschädigung, als Ausdruck einer deprivierten Vita sexualis oder aus therapeutischen Gründen [2], in Zusammenhang mit Nasennebenhöhlenoperatio nen [3][4][5][6][7], nach Salbeninstillation in den Tränensack [8,9] bzw. in die Kieferhöhle [10] [7], Eine Periorbitaverletzung kann intraoperativ mit Hilfe des Bulbusdrucktestes [12] gut erkannt werden.…”