Honart J-F, Duron J-B, Mazouz Dorval S, Rausky J, Revol M
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
Ann Chir Plast Esthet. 2013 Dec;58(6):676-9. doi: 10.1016/j.anplas.2013.08.005. Epub 2013 Sep 18.
Hyaluronic acid (HA) is the most used dermal filler. Some complications associated with its use have been described, but most of them are rare and benign. We report an exceptional case of skin necrosis of the tip of the nose, in a 22-year-old patient, after HA injection. The initial appearance may occurred subsequent aesthetic sequels. After necrotic tissue excision, patient was followed in rapid succession. Daily local care has led to wound healing, without any important sequel. This rare complication reminds us that HA injections are not without risk, despite their apparent simplicity of use. Moreover, the case presented confirms the potential healing of the nasal tip, allowing treatment with wound healing, rather than other early invasive procedure.
透明质酸(HA)是最常用的真皮填充剂。已经描述了一些与其使用相关的并发症,但大多数都很罕见且为良性。我们报告了一例22岁患者在注射HA后鼻尖皮肤坏死的特殊病例。最初的表现可能会出现后续的美学后遗症。坏死组织切除后,对患者进行了连续快速的随访。每日局部护理促使伤口愈合,未留下任何严重后遗症。这种罕见的并发症提醒我们,尽管HA注射使用起来看似简单,但并非没有风险。此外,所呈现的病例证实了鼻尖有潜在的愈合能力,可采用伤口愈合治疗,而非其他早期侵入性手术。