Salivary Gland Center, and Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine, 630 W. 168th St., New York, NY 10032, USA.
J Am Dent Assoc. 2010 Feb;141(2):162-6. doi: 10.14219/jada.archive.2010.0134.
Administering injections of dermal fillers has become a popular office procedure that is performed to restore facial volume, augment facial volume or both. Injectable silicone is a nonbiodegradable filler that was introduced 40 years ago. Adverse reactions can develop from its long-term presence in the body.
The authors evaluated a 45-year-old woman who nine years previously had received bilateral silicone cosmetic filler injections in the malar regions of her face. Two years and again five years later, she developed painless buccal swellings on the right side of her face, but the condition regressed spontaneously. When a third episode of right buccal swelling persisted, she sought care. Therapy involving the use of antibiotic agents and steroids resolved the patient's reaction to the silicone, but the pathophysiology of the reaction has not been delineated clearly.
Dental practitioners may see orofacial inflammatory swellings initiated by a reaction to silicone. Differentiating it from facial cellulitis is essential. Practitioners should base their diagnoses of orofacial inflammatory swellings on patients' history of receiving injectable cosmetic filler.
真皮填充剂的注射已成为一种流行的门诊程序，用于恢复面部体积、增加面部体积或两者兼而有之。注射用硅胶是一种不可生物降解的填充物，于 40 年前推出。其在体内长期存在可能会引发不良反应。
作者评估了一位 45 岁的女性，她在九年前曾在面部的颧骨区域接受过双侧硅胶美容填充物注射。两年后和五年后，她的右侧面部出现无痛性颊部肿胀，但病情自行消退。当第三次右侧颊部肿胀持续存在时，她寻求治疗。使用抗生素和类固醇的治疗缓解了患者对硅胶的反应，但该反应的病理生理学尚未明确。
牙科医生可能会看到由硅胶反应引起的口腔颌面部炎症性肿胀。将其与面部蜂窝织炎区分开来至关重要。医生应根据患者接受注射美容填充物的病史来诊断口腔颌面部炎症性肿胀。
