PURPOSE: To delineate the clinicopathologic features of @entity1 who have @entity4593 of the periorbital region after periocular and facial surgery and to define the sequelae after treatment and their management. METHODS: A case series of @entity1 from 7 practices of ophthalmic plastic and reconstructive surgeons was analyzed retrospectively. RESULTS: Thirteen @entity1 had @entity281 in the following clinical settings: 8 @entity1 had @entity281 after blepharoplasty, 2 @entity1 had @entity281 that involved the anophthalmic socket, 1 @entity1 had @entity4550 after @entity8924 repair with an alloplastic implant, and 2 @entity1 had @entity281 involving the lacrimal system, one after @entity1346 tube insertion and the other after dacryocystorhinostomy with @entity1346 tube intubation. Sequelae of @entity281 included eyelid retraction and ectropion requiring surgical repair (two @entity1 ) and @entity9577 (one @entity1 ). Twelve of 13 @entity1 required extensive antibiotic therapy. One @entity281 resolved after local excision of eyelid lesions. Another @entity1 had recurrent @entity281 after 4 weeks of antibiotic treatment. CONCLUSIONS: @entity281 with erythematous nodules, particularly when a foreign body is implanted weeks after periocular surgery, should arouse suspicion of an atypical @entity281 . @entity281 after blepharoplasty may mimic a chalazion, develop in a sutured incision, or occur without any inflammatory signs. @entity2694 formation may occur in the setting of transconjunctival blepharoplasty. Cultures for acid-fast bacilli and excisional biopsy of nodules with performance of acid-fast stains may be necessary for diagnosis. The selection of systemic antibiotic therapy, usually @entity4581 , and the length of treatment should be guided by results of culture and sensitivity laboratory studies, biopsy results, and clinical response to treatment. Surgical removal of any implanted foreign bodies should be performed expeditiously. Consultation with an infectious disease specialist may be useful in selected cases. Sequelae of @entity281 may include eyelid scarring and retraction and @entity9577 .

XXXX of the periocular region after periocular and facial surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity9577 :: ('MESH:D015841', 'Disease') :: ['enophthalmos'] @entity4581 :: ('MESH:D017291', 'Chemical') :: ['clarithromycin'] @entity4593 :: ('MESH:D009165', 'Disease') :: ['atypical mycobacterial infections'] @entity2694 :: ('MESH:D009916', 'Disease') :: ['Orbital abscess'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'infections', 'Delayed infection', 'mycobacterial infection'] @entity1346 :: ('MESH:D012828', 'Chemical') :: ['silicone'] @entity4550 :: ('MESH:D054517', 'Disease') :: ['orbital cellulitis'] @entity8924 :: ('MESH:D009917', 'Disease') :: ['orbital fracture']
@entity4593 :: (MESH:D009165,Disease) :: ['Atypical mycobacterial infection']
