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填充剂填充:安全与否?一组填充剂严重并发症病例

Filler augmentation, safe or unsafe: A case series of severe complications of fillers.

作者信息

Omranifard Mahmood, Taheri Soheila

机构信息

Associate Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2011 Dec;16(12):1627-31.

PMID:22973374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3434907/
Abstract

BACKGROUND

The growing interest in filler injection requires a more comprehensive knowledge about the complications of this procedure.

METHODS

A total of 5 cases with debilitating chronic complications following filler injection referred to Al-Zahra hospital, Isfahan are presented in this report.

RESULTS

The outcome of treatment for two of the cases was satisfactory. In one case the treatment led to failure. A case committed suicide, the remaining case had received vitamin E injection which caused severe necrosis and scaring.

CONCLUSIONS

All fillers are considered foreign bodies and may provoke the immune system to varying degrees. Most complications are, however, caused by the technique of injection not the filler itself. Experience of physicians along with adequate knowledge about fillers and their complications can definitely guarantee a better outcome.

摘要

背景

对填充剂注射的兴趣日益增长,这需要对该手术的并发症有更全面的了解。

方法

本报告介绍了5例在伊斯法罕的Al-Zahra医院因填充剂注射后出现使人衰弱的慢性并发症的病例。

结果

其中2例的治疗结果令人满意。1例治疗失败。1例自杀,其余1例接受了维生素E注射,导致严重坏死和瘢痕形成。

结论

所有填充剂都被视为异物,可能不同程度地激发免疫系统。然而,大多数并发症是由注射技术而非填充剂本身引起的。医生的经验以及对填充剂及其并发症的充分了解肯定能保证更好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/5753e583e2c4/JRMS-16-1627-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/75c48088afb6/JRMS-16-1627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/105bf6945c88/JRMS-16-1627-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/5753e583e2c4/JRMS-16-1627-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/75c48088afb6/JRMS-16-1627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/105bf6945c88/JRMS-16-1627-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4a9/3434907/5753e583e2c4/JRMS-16-1627-g003.jpg

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The management of dermal filler complications.真皮填充剂并发症的处理
Facial Plast Surg. 2009 May;25(2):124-8. doi: 10.1055/s-0029-1220653. Epub 2009 May 4.
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Treatment options for dermal filler complications.真皮填充剂并发症的治疗选择。
Aesthet Surg J. 2006 May-Jun;26(3):356-64. doi: 10.1016/j.asj.2006.04.002.
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Understanding, avoiding, and managing dermal filler complications.了解、避免和处理真皮填充剂并发症。
Dermatol Surg. 2008 Jun;34 Suppl 1:S92-9. doi: 10.1111/j.1524-4725.2008.34249.x.
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Management of complications and sequelae with temporary injectable fillers.
Plast Reconstr Surg. 2007 Nov;120(6 Suppl):98S-105S. doi: 10.1097/01.prs.0000248859.14788.60.
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The natural history of polymethylmethacrylate microspheres granulomas.聚甲基丙烯酸甲酯微球肉芽肿的自然病史。
Dermatol Surg. 2007 May;33(5):614-20. doi: 10.1111/j.1524-4725.2007.33123.x.
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Avoiding and treating dermal filler complications.避免和治疗真皮填充剂并发症。
Plast Reconstr Surg. 2006 Sep;118(3 Suppl):92S-107S. doi: 10.1097/01.prs.0000234672.69287.77.
8
Injection necrosis of the glabella: protocol for prevention and treatment after use of dermal fillers.眉间注射坏死:使用真皮填充剂后的预防和治疗方案
Dermatol Surg. 2006 Feb;32(2):276-81. doi: 10.1111/j.1524-4725.2006.32052.x.
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Adverse reactions to dermal fillers: review.真皮填充剂的不良反应:综述
Dermatol Surg. 2005 Nov;31(11 Pt 2):1616-25.
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Adverse reactions to dermal fillers: a review of European experiences.真皮填充剂的不良反应:欧洲经验综述
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