Wang Xian, Wu Min, Zhou Xing, Liu Hengdeng, Zhang Yongchao, Wang Haiping
Department of Plastic and Aesthetic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, China.
J Craniofac Surg. 2018 Jul;29(5):1341-1343. doi: 10.1097/SCS.0000000000004625.
Autologous fat injection is a procedure aimed at eliminating grave defects in the skin surface by subcutaneous injection of the patient's fatty tissue. Fat embolism is a rare but severe complication of this procedure, especially cerebral infarction. It is first reported by Thaunat in 2004.
were presented to the hospital with sudden unconsciousness and left limb weakness in 24 hours after facial fat injection. Brain computed tomography and magnetic resonance imaging were performed immediately after admission. Frontal temporoparietal decompressive craniectomy plus multiple treatments scheduled for patients. Pictures and videos were taken during follow-up. Figures are edited with Adobe Photograph CS6.
Patients were diagnosed with extensive cerebral infarction of the right hemisphere through the middle cerebral artery or facial-intracranial branches.
Routine cosmetic procedures of facial fat injections could cause devastating and even fatal complications to patients. The small volume of fat grafts can be inserted through the internal carotid artery or go through the communicating branches between the facial artery and the intracranial artery into the brain.
自体脂肪注射是一种通过皮下注射患者脂肪组织来消除皮肤表面严重缺陷的手术。脂肪栓塞是该手术罕见但严重的并发症，尤其是脑梗死。它于2004年由Thaunat首次报道。
患者在面部脂肪注射后24小时内出现突发意识不清和左侧肢体无力并被送至医院。入院后立即进行脑部计算机断层扫描和磁共振成像。为患者安排了额颞顶减压颅骨切除术及多种治疗。随访期间拍摄了图片和视频。图片用Adobe Photograph CS6编辑处理。
患者通过大脑中动脉或面-颅内分支被诊断为右半球广泛脑梗死。
面部脂肪注射的常规美容手术可能给患者带来毁灭性甚至致命的并发症。少量脂肪移植物可通过颈内动脉进入或经面动脉与颅内动脉之间的交通支进入脑部。
