Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
J Craniofac Surg. 2024;35(2):e185-e186. doi: 10.1097/SCS.0000000000009949. Epub 2024 Jan 22.
The utilization of fillers, notably hyaluronic acid, has increased due to their proven effectiveness, versatility, and generally favorable safety profile. In the field of rhinoplasty, hyaluronic acid dermal fillers have been employed for the correction of nasal deformities and surface irregularities. Nevertheless, the intricate vascular network of the nasal region, involving anastomoses between the external and internal carotid arteries, predisposes it to serious vascular complications. We report a case of a severe septal ulcer secondary to local ischemia following an injection of a hyaluronic acid nasal filler. The patient presented with immediate pain and nasal discomfort; however, there was an unfortunate delay in diagnosis and treatment. This report discusses the intricacies of the case and imparts crucial insights gleaned from the incident.
由于其有效性、多功能性和普遍良好的安全性，填充物（特别是透明质酸）的应用有所增加。在隆鼻术中，透明质酸真皮填充剂已被用于矫正鼻畸形和表面不规则。然而，由于外颈动脉和内颈动脉之间的吻合，鼻区复杂的血管网络使其容易发生严重的血管并发症。我们报告了一例因注射透明质酸鼻填充物导致局部缺血引起的严重鼻中隔溃疡。患者立即出现疼痛和鼻部不适；然而，不幸的是，诊断和治疗出现了延误。本报告讨论了该病例的复杂性，并提供了从该事件中获得的重要见解。
