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颌面部区域异物的影像学识别:一例病例报告及美容手术规划综述

Radiographic Identification of Foreign Bodies in the Maxillofacial Region: A Case Report and Review for Aesthetic Surgery Planning.

作者信息

Alimova Sekina, Tlaiss Yehya, Youness Suzanne, Tleis Ahmad, Evgeny Basin, Truten Victor, Guseva Tatiana

机构信息

Department of Radiology, Federal State Budgetary Educational Institution of Higher Education, Russian University of Medicine, Ministry of Health of the Russian Federation, Moscow, Russia.

Department of Ophthalmology, University of Balamand, Beirut, Lebanon.

出版信息

Case Rep Radiol. 2025 Sep 3;2025:8870515. doi: 10.1155/crra/8870515. eCollection 2025.

Abstract

Aesthetic facial and neck procedures increasingly rely on radiographic imaging for surgical planning and complication management. Cone-beam computed tomography (CBCT) offers high-resolution, three-dimensional imaging, but foreign materials such as cosmetic fillers and metallic implants can mimic pathology, generate artifacts, and complicate surgery. This case report with an integrated literature review highlights the radiographic identification of such materials and their implications for aesthetic procedures, illustrated by a patient case where CBCT revealed high-density inclusions in the submental region, correlating with intraoperative fibrosis and extended surgical time. CBCT proved superior in visualizing foreign bodies with lower radiation exposure than conventional CT, emphasizing the need for standardized imaging protocols and AI-driven artifact reduction to enhance diagnostic accuracy and optimize surgical outcomes.

摘要

面部和颈部美容手术越来越依赖放射成像进行手术规划和并发症管理。锥形束计算机断层扫描(CBCT)提供高分辨率的三维成像,但诸如美容填充剂和金属植入物等异物可能会模拟病变、产生伪影并使手术复杂化。本病例报告及综合文献综述强调了此类材料的放射学识别及其对美容手术的影响,通过一个病例进行说明,该病例中CBCT显示颏下区域有高密度内含物,与术中纤维化和手术时间延长相关。CBCT在可视化异物方面被证明优于传统CT,且辐射暴露更低,强调了需要标准化成像协议和人工智能驱动的伪影减少技术,以提高诊断准确性并优化手术结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e02/12422837/05f0735ed428/CRIRA2025-8870515.001.jpg

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