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Japanese

An Intraorbital Foreign Body Considered a Vascular Malformation on MRI Fumika Unno 1 , Mayuko Kamikawa 1 , Masaki Aihara 1 , Akiyoshi Kajikawa 1 , Hisao Nakamura 2 , Masatomo Doi 3 1Department of Plastic and Reconstructive Surgery, St. Marianna University School of Medicine 2Department of Radiology, St. Marianna University School of Medicine 3Department of Pathology, St. Marianna University School of Medicine pp.86-91
Published Date 2024/1/10
DOI https://doi.org/10.18916/keisei.2024010019
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 The use of nonsurgical cosmetic treatments has been on the rise. Numerous filler agents are available, and all cosmetic fillers may induce adverse reactions. We provide the details of a patient in whom a foreign body was detected in the orbit 8 years after the patient had undergone a rhinoplasty using a non-absorbable filler material. The MRI performed at the patientʼs first examination showed a low signal on T1-weighted images and a relatively high signal on T2-weighted images, which led us to suspect a venous malformation. However, when the incision was made, a gelatinous substance was observed, and the pathological findings suggested that it was the filler material that had been injected previously as part of the patientʼs rhinoplasty. There had been no preoperative declaration of a cosmetic medical history from the patient, but we believe that conducting an MRI examination would have suggested a history of injections if there had been a prior declaration.

 When MRI shows a vascular malformation in the orbit, the patient should be reexamined to determine the history of previous injections.


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電子版ISSN 印刷版ISSN 0021-5228 克誠堂出版

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