Murakami Kazuhiro, Yamamoto Kazuhiko, Sugiura Tsutomu, Kirita Tadaaki
Department of Oral and Maxillofacial Surgery, Nara Medical, University, Kashihara City, Nara, Japan.
Case Rep Dent. 2020 Nov 3;2020:8834475. doi: 10.1155/2020/8834475. eCollection 2020.
The facial injection of liquid silicone is performed for cosmetic purposes. The use of injectable fillers in facial procedures has become extremely popular over the past decade. Most procedures are performed in the perioral, periocular, and cheek areas of middle-aged women. Even though silicone is biologically inert, its injection can result in the formation of granulomas. Silicone granulomas can result from an inflammatory or autoimmune tissue response. However, the development of silicone granulomas secondary to dental infection has not yet been reported. We report a case of a 73-year-old woman with a right buccal silicone granuloma that developed following a dental infection. Ultimately, this case healed completely after the surgical removal of all lesions. Silicone in the facial region may become infected by a dental infection, and infective silicone develops granulomas and cellulitis. In the context of cosmetic facial silicone injections, it is necessary to improve oral hygiene prior to dental treatment and to maintain a healthy oral environment after surgery. In some cases, surgical treatment using an intraoral approach is effective.
面部注射液体硅胶是出于美容目的。在过去十年中，可注射填充剂在面部手术中的使用变得极为普遍。大多数手术在中年女性的口周、眼周和脸颊区域进行。尽管硅胶具有生物惰性，但其注射仍可导致肉芽肿形成。硅胶肉芽肿可由炎症或自身免疫性组织反应引起。然而，继发于牙齿感染的硅胶肉芽肿的发生尚未见报道。我们报告一例73岁女性，其右侧颊部硅胶肉芽肿在牙齿感染后出现。最终，所有病变手术切除后该病例完全愈合。面部区域的硅胶可能因牙齿感染而被感染，感染性硅胶会形成肉芽肿和蜂窝织炎。在美容性面部硅胶注射的情况下，在牙科治疗前有必要改善口腔卫生，并在术后保持健康的口腔环境。在某些情况下，采用口内入路的手术治疗是有效的。
