Download PDF
J Reconstr Microsurg 2015; 31(08): 614-616
DOI: 10.1055/s-0035-1555012
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Supraorbital Neuroma: A Rare and Unreported Complication Following Blepharoplasty

Giorgio Pietramaggiori
1   Division of Plastic and Reconstructive Surgery, University Hospital of Lausanne, Switzerland
,
Sandra Saja Scherer
1   Division of Plastic and Reconstructive Surgery, University Hospital of Lausanne, Switzerland
,
Ziv M. Peled
2   Peled Plastic Surgery, San Francisco, California
,
Raffoul Wassim
1   Division of Plastic and Reconstructive Surgery, University Hospital of Lausanne, Switzerland
› Author Affiliations
Further Information

Publication History

26 March 2015

25 April 2015

Publication Date:
28 July 2015 (online)

Also available at
    Permissions and Reprints

Blepharoplasty was the third most common esthetic plastic surgery procedure performed in the United States in 2012 and has consistently been one of the most commonly performed esthetic procedures annually worldwide by a variety of specialists.[1] Complications are not common, but can occur at any time during the perioperative period. Reported early complications include corneal abrasion, dry eyes, infection, hematoma, chemosis, and most severely visual loss secondary to retrobulbar hematoma. Intermediate complications include ptosis and lagophthalmos, eyelid malposition, corneal exposure, lacrimal system dysfunction, and strabismus. Late complications include eyelid malposition, over/underresection of skin and orbital fat, contour abnormalities, dry eye syndrome, and wound-healing issues.[2] Some postoperative issues, however, do not fit the more commonly described problems and here, we present the case of a woman with intractable pain following blepharoplasty secondary to a supraorbital branch neuroma.

 

  • References

  • 1 American Society of Plastic Surgeons. Top five cosmetic surgical procedures of 2014. Available at: http://www.plasticsurgery.org/cosmetic-procedures/eyelid-surgery.html . Accessed 8 June, 2015
    PubMedGoogle Scholar
  • 2 Lelli Jr GJ, Lisman RD. Blepharoplasty complications. Plast Reconstr Surg 2010; 125 (3) 1007-1017
    CrossrefPubMedGoogle Scholar
  • 3 Janis JE, Ghavami A, Lemmon JA, Leedy JE, Guyuron B. The anatomy of the corrugator supercilii muscle: part II. Supraorbital nerve branching patterns. Plast Reconstr Surg 2008; 121 (1) 233-240
    CrossrefPubMedGoogle Scholar
  • 4 Celik EC, Erhan B, Lakse E. The clinical characteristics of neuropathic pain in patients with spinal cord injury. Spinal Cord 2012; 50 (8) 585-589
    CrossrefPubMedGoogle Scholar
  • 5 de Moraes Vieira EB, Garcia JB, da Silva AA, Mualem Araújo RL, Jansen RC. Prevalence, characteristics, and factors associated with chronic pain with and without neuropathic characteristics in São Luís, Brazil. J Pain Symptom Manage 2012; 44 (2) 239-251
    CrossrefPubMedGoogle Scholar
  • 6 Moisset X, Ouchchane L, Guy N, Bayle DJ, Dallel R, Clavelou P. Migraine headaches and pain with neuropathic characteristics: comorbid conditions in patients with multiple sclerosis. Pain 2013; 154 (12) 2691-2699
    CrossrefPubMedGoogle Scholar
  • 7 Shaygan M, Böger A, Kröner-Herwig B. Clinical features of chronic pain with neuropathic characteristics: a symptom-based assessment using the pain DETECT questionnaire. Eur J Pain 2013; 17 (10) 1529-1538
    PubMedGoogle Scholar
  • 8 Eisenberg E, McNicol E, Carr DB. Opioids for neuropathic pain. Cochrane Database Syst Rev 2006; (3) CD006146
    PubMedGoogle Scholar