Ellis Lixia Z, Cohen Joel L, High Whitney
J Clin Aesthet Dermatol. 2012 Jul;5(7):44-7.
The use of liquid injectable silicone for soft tissue augmentation is controversial. Proponents of its use consider it safe when highly purified medical-grade product is employed appropriately by well-trained and experienced physicians, whereas opponents believe complications from silicone injections are inherently inevitable and unpredictable and that they outweigh the benefits. One of the feared complications is granuloma formation. In this article, the authors report two cases of granulomatous nodules from silicone injections and present the histological features. These cases highlight the need for continued vigilance among clinicians about this complication and the importance not only of careful selection of filler products, but also of patients knowing the credentials of their injection practitioners.
使用液体注射用硅胶进行软组织填充存在争议。其支持者认为，当经过高度纯化的医用级产品由训练有素且经验丰富的医生适当地使用时，它是安全的；而反对者则认为，硅胶注射引起的并发症本质上是不可避免且无法预测的，其危害超过了益处。令人担忧的并发症之一是肉芽肿形成。在本文中，作者报告了两例硅胶注射后形成肉芽肿结节的病例，并展示了组织学特征。这些病例凸显了临床医生对此类并发症持续保持警惕的必要性，以及不仅要谨慎选择填充产品，而且患者要了解注射医生资质的重要性。
