TY - JOUR
T1 - Debulking Surgery After Muscular Paraffin Oil Injections
T2 - Effects on Calcium Homeostasis and Patient Satisfaction
AU - Yahyavi, Sam Kafai
AU - Wall-Gremstrup, Gustav
AU - Makki, Ahmad
AU - Juel, Jacob
AU - Theilade, Simone
AU - Berg, Jais Oliver
AU - Juul, Anders
AU - Momsen, Ole
AU - Eldrup, Ebbe
AU - Blomberg Jensen, Martin
N1 - Publisher Copyright:
© 2024 The Author(s). Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved.
PY - 2025/3
Y1 - 2025/3
N2 - Context: Cosmetic paraffin oil injections can lead to granuloma formation, causing hypercalcemia and kidney failure. Objective: This study explores whether debulking surgery is an effective treatment for improving calcium homeostasis, inflammation, and clinical symptoms. Methods: In a retrospective study, we reviewed 33 patients undergoing debulking surgery. Changes in calcium, inflammatory markers, and renal function from baseline up to 12 months after surgery were assessed. Patients were interviewed after surgery. Results: The patients were 34.6 years of age (SD 6.9) and had 1104 grams (SD 591) of granuloma tissue removed following injection of 1329 mL (SD 803) paraffin oil 7.9 years (SD 3.2) earlier. Seventeen patients had hypercalcemia and experienced a significant decline in ionized calcium from 1.48 mmol/L (SD 0.16) at baseline to 1.33 mmol/L (SD 0.03) at 12 months (P <. 002), although only 4 men (23.5%) became normocalcemic. Serum ferritin was reduced by 50% after 12 months (P =. 048). Sixteen patients were normocalcemic and had no change in calcium homeostasis but experienced a 20% drop in serum ferritin levels (P =. 025) after surgery. Fifteen patients completed all their planned surgeries within the study period and experienced a decline in serum ionized calcium (P =. 031), ferritin (P =. 011), and interleukin 2-receptor (P =. 037). A survey showed that 55% of patients reported postoperative satisfaction scores of 10/10, and 59% of the patients reported reduced pain. Conclusion: Surgery improved calcium homeostasis in a fraction of patients and reduced inflammation and subjective symptoms such as pain and mental well-being in a patient group left with few treatment options except high-dose prednisolone.
AB - Context: Cosmetic paraffin oil injections can lead to granuloma formation, causing hypercalcemia and kidney failure. Objective: This study explores whether debulking surgery is an effective treatment for improving calcium homeostasis, inflammation, and clinical symptoms. Methods: In a retrospective study, we reviewed 33 patients undergoing debulking surgery. Changes in calcium, inflammatory markers, and renal function from baseline up to 12 months after surgery were assessed. Patients were interviewed after surgery. Results: The patients were 34.6 years of age (SD 6.9) and had 1104 grams (SD 591) of granuloma tissue removed following injection of 1329 mL (SD 803) paraffin oil 7.9 years (SD 3.2) earlier. Seventeen patients had hypercalcemia and experienced a significant decline in ionized calcium from 1.48 mmol/L (SD 0.16) at baseline to 1.33 mmol/L (SD 0.03) at 12 months (P <. 002), although only 4 men (23.5%) became normocalcemic. Serum ferritin was reduced by 50% after 12 months (P =. 048). Sixteen patients were normocalcemic and had no change in calcium homeostasis but experienced a 20% drop in serum ferritin levels (P =. 025) after surgery. Fifteen patients completed all their planned surgeries within the study period and experienced a decline in serum ionized calcium (P =. 031), ferritin (P =. 011), and interleukin 2-receptor (P =. 037). A survey showed that 55% of patients reported postoperative satisfaction scores of 10/10, and 59% of the patients reported reduced pain. Conclusion: Surgery improved calcium homeostasis in a fraction of patients and reduced inflammation and subjective symptoms such as pain and mental well-being in a patient group left with few treatment options except high-dose prednisolone.
KW - cosmetic oil injections
KW - debulking
KW - granuloma
KW - hypercalcemia
KW - paraffinoma
KW - surgery
UR - https://www.scopus.com/pages/publications/85218078688
U2 - 10.1210/clinem/dgae606
DO - 10.1210/clinem/dgae606
M3 - Journal article
C2 - 39225149
AN - SCOPUS:85218078688
SN - 0021-972X
VL - 110
SP - 649
EP - 657
JO - Journal of Clinical Endocrinology and Metabolism
JF - Journal of Clinical Endocrinology and Metabolism
IS - 3
ER -