Arch Craniofac Surg.  2018 Dec;19(4):296-299. 10.7181/acfs.2018.02068.

A case of intramuscular xanthelasma palpebrarum found during blepharoplasty

Affiliations
  • 1Department of Plastic Surgery, Graduate School, Kyung Hee University, Seoul, Korea.
  • 2Department of Plastic Surgery, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea. nuelk@nate.com
  • 3Department of Radiology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

Abstract

Xanthelasma palpebrarum is the most common cutaneous xanthoma found on the medial side of the eyelid. The typical lesion is usually a flat and yellowish plaque on the skin. However, we report on a unique case of intramuscular xanthoma found during blepharoplasty for the correction of ptosis. A 53-year-old male patient visited our department with a complaint of a ptotic eyelid. He was concerned about the cosmetic appearance and the uncomfortable feeling while opening his eyes, and wanted these problems to be solved. A yellowish plaque of about 0.3 × 0.3 cm in size was found in the orbicularis oculi muscle during the surgery. The lesion was excised and xanthelasma was confirmed with biopsy. We have found this specific case of xanthelasma palpebrarum in the only muscle. Therefore, a careful approach to clinical and histologic examination and imaging is required for patients with these lesions.

Keyword

Muscles; Xanthomatosis; Eyelids
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