Jang Jin Woo, Kang Sang Yoon
Department of Plastic Surgery, Kyung Hee University Hospital, Seoul, Korea.
Department of Plastic Surgery, Kyung Hee University College of Medicine, Seoul, Korea.
Arch Craniofac Surg. 2021 Feb;22(1):26-32. doi: 10.7181/acfs.2020.00689. Epub 2021 Feb 20.
Various substances are currently being used for cosmetic or postsurgical reconstruction reasons. Injecting of various materials into the face may provoke inflammatory or granulomatous reactions, infection and tissue necrosis. Among these reactions are foreign body granulomas. This study aims to describe the clinical characteristics of and therapeutic approaches used in patients with facial foreign body granulomas caused by the injection of various substances.
From 2007 to 2020, a total of 64 patients visited our hospital due to inflammatory signs, palpable masses or surface irregularities. We reviewed patient characteristics, type of injected material, medical history and treatment outcomes. The treatment results were scored with patient satisfaction and statistical analysis of the treatment period was performed.
Most patients underwent conservative treatment followed by surgical treatment because of persistent symptoms; one patient did not require surgery. All patients reported good treatment results and satisfaction. The earlier the surgical treatment was performed, the shorter the treatment period and the higher patient satisfaction scoring.
Granulomatous changes to the face are an emerging concern in various cosmetic procedures and surgeries, including fillers, silicone implants and autologous fat injections. Our findings strongly suggest that patient symptoms require accurate diagnosis and surgical treatment.
目前，出于美容或术后重建的原因，人们使用了各种物质。将各种材料注入面部可能会引发炎症或肉芽肿反应、感染及组织坏死。这些反应中包括异物肉芽肿。本研究旨在描述因注射各种物质导致面部异物肉芽肿患者的临床特征及所采用的治疗方法。
2007年至2020年期间，共有64例患者因炎症体征、可触及肿块或表面不平整前来我院就诊。我们回顾了患者特征、注射材料类型、病史及治疗结果。根据患者满意度对治疗结果进行评分，并对治疗周期进行统计学分析。
多数患者因症状持续而先接受保守治疗，随后接受手术治疗；1例患者无需手术。所有患者均报告治疗效果良好且满意。手术治疗进行得越早，治疗周期越短，患者满意度评分越高。
面部肉芽肿性改变在包括填充剂、硅胶植入物和自体脂肪注射在内的各种美容手术和外科手术中日益受到关注。我们的研究结果强烈表明，对于患者的症状需要进行准确诊断并实施手术治疗。
