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Threading the Needle: A Case of Periorbital Gold Threading
Colin P Froines1, Erin E Godbout2, Jennifer T Yu2
1University of Washington School of Medicine, Seattle, Washington, U.S.A.
Ophthalmic Plastic and Reconstructive Surgery
|March 9, 2023
Summary
Gold threading, an aesthetic practice, is increasingly seen in Western settings and can be mistaken for susuk. This case highlights a delayed reaction to gold threading found during sinusitis evaluation.
Area of Science:
- Oculoplastic Surgery
- Medical Aesthetics
- Radiology
Background:
- The aesthetic practice of gold threading is emerging in Western medical settings.
- Periorbital gold threading may be misidentified as other procedures, such as the insertion of charm needles (susuk).
- Accurate differentiation is crucial for appropriate patient management.
Observation:
- A unique case of incidentally discovered periorbital gold threading during chronic sinusitis workup is presented.
- A rare, delayed local site reaction to the gold threads was observed.
- The clinical presentation and radiographic findings are detailed.
Findings:
- Gold threading can present as a rare periorbital finding.
- Misidentification with procedures like susuk insertion is a potential diagnostic challenge.
- Delayed local reactions to gold threads can occur.
Implications:
- Oculoplastic surgeons must be aware of gold threading as a differential diagnosis for periorbital findings.
- Clinical and radiographic features are key to differentiating gold threading from susuk and other foreign bodies.
- Recognition of this practice aids in correct diagnosis and management of related complications.
