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Ischemic Oculomotor Nerve Palsy and Skin Necrosis Caused by Vascular Embolization After Hyaluronic Acid Filler Injection

2012; Lippincott Williams & Wilkins; Volume: 71; Issue: 4 Linguagem: Inglês

10.1097/sap.0b013e31824f21da

1536-3708

Seung Gee Kwon, Jong Won Hong, Tai Suk Roh, Young Seok Kim, Dong Kyun Rah, Sung Soo Kim,

Botulinum Toxin and Related Neurological Disorders

Hyaluronic acid filler injection is widely used for soft tissue augmentation. However, there can be disastrous complications by direct vascular embolization. We present a case of ischemic oculomotor nerve palsy and skin necrosis after hyaluronic acid filler injection on glabellar. Blepharoptosis, exotropia and diplopia developed suddenly after the injection, and skin necrosis gradually occurred. Symptoms and signs of oculomotor nerve palsy continuously improved with steroid therapy. Skin defects healed with minimal scars through intensive wound care. Percutaneous filler injection of periorbital areas should be performed carefully by experienced surgeons, and the possibility of embolization should be considered promptly if symptoms develop.