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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

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References

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