Summary
Background
Soft-tissue filler injections have become popular, and injections of even illegal
materials are widespread. Complications such as foreign body granuloma often occur
in such cases, and appropriate treatment is mandatory but no optimal treatment has
been established.
Methods
We treated 173 patients who underwent surgical excision of foreign body granulomas
via direct approach to the lesion (n = 121) or injection therapies (n = 52) at Kangbuk Samsung Hospital over a period of 7 years from April 2004 to February
2011. A retrospective chart review found that 104 patients had a history of treatment
failure at other hospitals. Among these 104 patients, 83 had a history of prior injection
therapy and 21 patients had a history of prior surgical therapy. Patient satisfaction
was evaluated at our hospital on a scale of 1–5 using an in-house questionnaire. Comparisons
between patients receiving injection therapy and patients receiving surgical therapy
were made using the Mann–Whitney test.
Results
Patients who underwent surgical therapy via direct approach to the lesion reported
statistically higher satisfaction scores 4(3–4) than those who underwent injection
therapy 3(2–3) (p < 0.001).
Conclusions
Our novel surgical technique results in better outcomes and patient satisfaction in
cases of severe foreign body granuloma.
Keywords
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Article info
Publication history
Published online: September 01, 2011
Accepted:
July 24,
2011
Received:
March 14,
2011
Footnotes
☆Presented at the 10th Korea–Japan Congress of Plastic and Reconstructive Surgery, in Busan, Korea, 16–18 June 2010.
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
