A Case of Paraffinoma Removal Using Endoscope-Assisted Microdebrider

ABSTRACT

Paraffin has been used illegally in Korea for many years as an oil-soluble substance to augment depressed nasal dorsum. Here we describe the successful management of a case of nasal paraffinoma using an endoscope-assisted microdebrider and primary reconstruction using autologous dermofat and Gore Tex. The patient was placed in the supine position under general anesthesia, and bilateral intercartilaginous incisions were made. The endoscopic views provided an extended image that aided in identifying paraffinoma within the soft tissue. The paraffinoma was removed with a microdebrider. The dorsal defect and irregularities were reconstructed using dermofat and Gore-Tex.At the four-year follow-up, the patient was satisfied with the cosmetic results, and there was no evidence of recurrence.