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临床实践中的面部美学注射:预处理和后处理的共识建议,以尽量减少不良后果。

Facial aesthetic injections in clinical practice: Pretreatment and posttreatment consensus recommendations to minimise adverse outcomes.

机构信息

Monash University, Clayton, Victoria, Australia.

Shape Clinic, Darlinghurst, New South Wales, Australia.

出版信息

Australas J Dermatol. 2020 Aug;61(3):217-225. doi: 10.1111/ajd.13273. Epub 2020 Mar 22.

DOI:10.1111/ajd.13273
PMID:32201935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7497045/
Abstract

Facial aesthetic treatment with injectable neuromodulators and hyaluronic acid fillers is well established, with favourable safety profiles and consistent outcomes. As with any medical treatment, adverse events and complications may occur. Adverse events associated with these products are typically transient and mild to moderate in severity. Serious adverse events, such as infection and intravascular occlusion, are rare. Proper patient selection, consent and counselling, preparation and impeccable injection technique are important risk reduction strategies. Both clinicians and patients must be alert to the signs and symptoms of complications so that appropriate treatment can be started promptly. In this article, the authors review the current literature and provide their consensus recommendations for minimising adverse outcomes when treating patients with botulinum toxin or hyaluronic acid fillers.

摘要

采用注射用神经调节剂和透明质酸填充物进行面部美学治疗已得到广泛认可,其具有良好的安全性和一致的治疗效果。与任何医疗治疗一样,可能会发生不良反应和并发症。与这些产品相关的不良反应通常是短暂的,且严重程度为轻度至中度。严重的不良反应(如感染和血管内闭塞)较为罕见。正确的患者选择、知情同意和咨询、准备工作以及完美的注射技术是重要的降低风险策略。临床医生和患者都必须警惕并发症的迹象和症状,以便能够及时开始进行适当的治疗。在本文中,作者回顾了当前的文献,并就如何使用肉毒毒素或透明质酸填充物治疗患者以最小化不良结果提供了共识建议。

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本文引用的文献

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IncobotulinumtoxinA Is an Effective and Well-Tolerated Treatment for Upper Facial Lines: Results From an Open-Label Extension Period of a Phase III Study.英科博妥素A是治疗上半脸皱纹的一种有效且耐受性良好的疗法:一项III期研究开放标签延长期的结果
Dermatol Surg. 2017 Dec;43 Suppl 3:S285-S292. doi: 10.1097/DSS.0000000000001416.
2
A Consensus on Minimizing the Risk of Hyaluronic Acid Embolic Visual Loss and Suggestions for Immediate Bedside Management.关于最小化透明质酸致栓塞性视力丧失风险的共识及即时床边管理建议。
Aesthet Surg J. 2020 Aug 14;40(9):1009-1021. doi: 10.1093/asj/sjz312.
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Update on Avoiding and Treating Blindness From Fillers: A Recent Review of the World Literature.避免和治疗填充物引起失明的最新进展:世界文献的最新回顾。
Aesthet Surg J. 2019 May 16;39(6):662-674. doi: 10.1093/asj/sjz053.
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Arterial Wall Penetration Forces in Needles versus Cannulas.针与套管对血管壁的穿透力。
Plast Reconstr Surg. 2019 Mar;143(3):504e-512e. doi: 10.1097/PRS.0000000000005321.
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Efficacy, Safety, and Subject Satisfaction After AbobotulinumtoxinA Treatment of Upper Facial Lines.阿柏西普治疗上睑皱纹后的疗效、安全性及患者满意度
Dermatol Surg. 2018 Dec;44(12):1555-1564. doi: 10.1097/DSS.0000000000001679.
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Injection technique in neurotoxins and fillers: Indications, products, and outcomes.神经毒素和填充物的注射技术:适应证、产品和结果。
J Am Acad Dermatol. 2018 Sep;79(3):423-435. doi: 10.1016/j.jaad.2018.01.037.
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Injection technique in neurotoxins and fillers: Planning and basic technique.神经毒素和填充物的注射技术:规划和基本技术。
J Am Acad Dermatol. 2018 Sep;79(3):407-419. doi: 10.1016/j.jaad.2018.01.034.
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J Oral Maxillofac Surg. 2017 Dec;75(12):2667.e1-2667.e5. doi: 10.1016/j.joms.2017.08.026. Epub 2017 Aug 24.
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Dermatol Surg. 2018 Mar;44(3):435-437. doi: 10.1097/DSS.0000000000001237.