TY - JOUR
T1 - Surgical management of eyelid lesions in adult-onset asthma and periocular xanthogranuloma
AU - Santos, Matthew C.
AU - Kalyam, Priya
AU - Couch, Steven M.
N1 - Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - Medical therapy is the mainstay of initial treatment for periocular xanthogranulomas. Here we depict surgical management of biopsy-proven adult-onset asthma and periocular xanthogranuloma (AAPOX). This 27-year-old female presented with seven years of progressive bilateral periorbital swelling, weight gain, and severe asthma refractory to immunosuppressive therapy including methotrexate, rituximab, and cyclophosphamide. Pre-operative and post-operative photos show excellent resolution of lesions. Orbitotomy with excision involved an upper eyelid crease incision marked at 9 mm centrally. A flap was dissected between the skin and orbicularis-involving xanthogranuloma, extended superiorly to orbital rim and laterally and medially until normal orbicularis was encountered. The xanthogranuloma was excised en-bloc. Infiltrated preaponeurotic fat and portions of the orbital lobe of the lacrimal gland were resected. After achieving hemostasis, the skin was closed with 6–0 polypropylene suture. Surgical pathology was consistent with the diagnosis of AAPOX.
AB - Medical therapy is the mainstay of initial treatment for periocular xanthogranulomas. Here we depict surgical management of biopsy-proven adult-onset asthma and periocular xanthogranuloma (AAPOX). This 27-year-old female presented with seven years of progressive bilateral periorbital swelling, weight gain, and severe asthma refractory to immunosuppressive therapy including methotrexate, rituximab, and cyclophosphamide. Pre-operative and post-operative photos show excellent resolution of lesions. Orbitotomy with excision involved an upper eyelid crease incision marked at 9 mm centrally. A flap was dissected between the skin and orbicularis-involving xanthogranuloma, extended superiorly to orbital rim and laterally and medially until normal orbicularis was encountered. The xanthogranuloma was excised en-bloc. Infiltrated preaponeurotic fat and portions of the orbital lobe of the lacrimal gland were resected. After achieving hemostasis, the skin was closed with 6–0 polypropylene suture. Surgical pathology was consistent with the diagnosis of AAPOX.
KW - Periocular xanthogranuloma
KW - adult-onset asthma and periocular xanthogranuloma
KW - periorbital mass excision
UR - http://www.scopus.com/inward/record.url?scp=85098755917&partnerID=8YFLogxK
U2 - 10.1080/01676830.2020.1867195
DO - 10.1080/01676830.2020.1867195
M3 - Article
C2 - 33397175
AN - SCOPUS:85098755917
SN - 0167-6830
VL - 41
SP - 664
EP - 665
JO - Orbit (London)
JF - Orbit (London)
IS - 5
ER -