Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-24T11:09:45.701Z Has data issue: false hasContentIssue false

Paraffinoma revisited: a post-operative condition following rhinoplasty nasal packing

Published online by Cambridge University Press:  29 June 2007

P. Q. Montgomery*
Affiliation:
Deparments of Otolaryngology, St Bartholomew's Hospital, West Smithfield, London, UK
J. I. Khan
Affiliation:
Department of Plastic Surgery, St Bartholomew's Hospital, West Smithfield, London, UK
R. Feakins
Affiliation:
Department of Pathology, St Bartholomew's Hospital, West Smithfield, London, UK
D. V. Nield
Affiliation:
Department of Plastic Surgery, St Bartholomew's Hospital, West Smithfield, London, UK
*
Address for correspondence: P. Q. Montgomery, F.R.C.S.. Department of ENT Surgery, St Mary's Hospital, Paddington, London W2 INY.

Abstract

Paraffin impregnated tulle is frequently used as a post-operative dressing after surgical repair of wounds, on skin-donor sites and in packing of tissue cavities. Historically, paraffin has been injected into various sites of the body and paraffinoma is a well-described complication. Despite this, nasal packing with paraffin gauze is still common after rhinoplasty. We report a case of paraffinoma occurring after rhinoplasty and discuss the avoidance of this rare but serious complication and suggest silicon mesh as an alternative dressing.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Boo Chai, K. (1965) Paraffinoma. Plastic Reconstructive Surgery 36: 101109.CrossRefGoogle Scholar
Feldmann, R., Harms, M., Chavaz, J. H. (1992) Orbital and palpebral paraffinomas. Journal of the American Academy of Dermatology 26 (5 pt 2): 833835.CrossRefGoogle Scholar
Goidwyn, R. M. (1980) The paraffin story. Plastic and Reconstructive Surgery 65: 517524.CrossRefGoogle Scholar
Heidingsfield, M. L. (1906) Histopathology of paraffin prosthesis. Journal of Cutaneous Disease 24: 513.Google Scholar
Nairn, R. C., Woodruff, M. F. A. (1955) Paraffinoma of the rectum. Annals of Surgery 141: 536.CrossRefGoogle ScholarPubMed