Kose Aydan A, Ekinci Can, Koçman Atacan E
Plastic, Reconstructive and Esthetic Surgery, Osmangazi University School of Medicine, Eskişehir, TUR.
Plastic, Reconstructive and Esthetic Surgery, Private Practice, İstanbul, TUR.
Cureus. 2022 Aug 19;14(8):e28180. doi: 10.7759/cureus.28180. eCollection 2022 Aug.
A 35-year-old woman with a history of polyacrylamide hydrogel filler injection was referred with a fluctuating facial abscess after decayed tooth extraction. MRI imaging confirmed the diagnosis of an abscess. After appropriate treatment, the patient healed with a little hyperpigmentation and deformity in the zygomaticotemporal area. Although polyacrylamide hydrogel filler injection is considered non-toxic, non-immunogenic, and biocompatible; as a permanent material, physicians should be aware of the risk of its late complications such as late infections. In addition to antiseptic measures, antibiotic prophylaxis may be necessary before the procedures which have a risk of bacteremia and close to the permanent filler location.
一名有聚丙烯酰胺水凝胶填充剂注射史的35岁女性，在拔牙后出现面部波动性脓肿，前来就诊。磁共振成像（MRI）确诊为脓肿。经过适当治疗，患者愈合，颧颞区有轻微色素沉着和畸形。虽然聚丙烯酰胺水凝胶填充剂被认为无毒、无免疫原性且具有生物相容性；但作为一种永久性材料，医生应意识到其晚期并发症的风险，如晚期感染。除了采取防腐措施外，在有菌血症风险且靠近永久性填充剂部位的手术前，可能需要预防性使用抗生素。
