Nassar Aref, Osseis Michael, Sleilati Fadi, Nasr Marwan, Abou Zeid Samer
From the Plastic Surgery Department, Hotel Dieu de France, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
General Surgery Department, Hotel Dieu de France, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Plast Reconstr Surg Glob Open. 2024 Dec 13;12(12):e6391. doi: 10.1097/GOX.0000000000006391. eCollection 2024 Dec.
Site enhancement oils, such as synthol, are sometimes used by bodybuilders to artificially increase muscle size and shape. However, these injections can lead to severe complications, including fibrosis, infections, and impaired muscle function. We report the case of a 45-year-old male patient who presented with severe fibrosis and recurrent infections in the pectoral region following synthol injections. The patient experienced several episodes of infection in the left pectoral area, which were treated with antibiotics, resulting in indurated, erythematous skin. The patient underwent surgical removal of the fibrotic tissue under general anesthesia. This case highlights the severe complications associated with synthol injections and underscores the importance of a meticulous surgical approach to manage these complications. Excision of fibrotic tissue is essential for reducing the risk of reinfection and restoring a normal appearance while carefully weighing the extent of tissue removal to avoid unnecessary damage to healthy structures. Preparing for potential blood loss and balancing the extent of tissue removal with the need to preserve normal function and appearance are crucial for successful outcomes.
诸如合成醇之类的局部增强油有时被健美运动员用于人为增大肌肉尺寸和改变肌肉形状。然而，这些注射可能导致严重并发症，包括纤维化、感染和肌肉功能受损。我们报告了一例45岁男性患者的病例，该患者在注射合成醇后胸部出现严重纤维化和反复感染。患者左侧胸部经历了数次感染，均用抗生素治疗，导致皮肤硬结、红斑。患者在全身麻醉下接受了纤维化组织的手术切除。该病例突出了与合成醇注射相关的严重并发症，并强调了采用细致的手术方法处理这些并发症的重要性。切除纤维化组织对于降低再次感染风险和恢复正常外观至关重要，同时要仔细权衡组织切除范围以避免对健康结构造成不必要的损害。为潜在的失血做好准备，并在组织切除范围与保留正常功能和外观的需求之间取得平衡，对于取得成功的结果至关重要。
