Hyperbaric oxygen therapy for treatment of vascular occlusion after permanent dermal filler injection.

IF 0.7 4区 医学 Q4 MARINE & FRESHWATER BIOLOGY Undersea and Hyperbaric Medicine Pub Date : 2024-04-01
Kelly Johnson-Arbor
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引用次数: 0

Abstract

Introduction: Arterial vascular occlusion is a rare complication of dermal filler injection. This case report describes the successful use of hyperbaric oxygen therapy in a patient with vascular occlusion after a permanent dermal filler was injected.

Case report: A 51-year-old woman underwent an injection of non-resorbable polymethylmethacrylate microspheres into her nasolabial folds. Several hours later, she experienced dusky discoloration of the right nasolabial fold and surrounding livedo skin changes, consistent with vascular occlusion. Treatment with warm compresses and topical nitroglycerin was initiated, and the patient was referred for hyperbaric oxygen therapy. The tissue discoloration improved significantly after the administration of six hyperbaric treatments.

Discussion: While hyaluronidase is recognized as a treatment option for vascular occlusion associated with using temporary fillers containing hyaluronic acid, it may also be beneficial for patients who experience vascular occlusion after administration of permanent fillers. Hyperbaric oxygen therapy, which results in hyperoxygenation of ischemic tissue and mitigation of the associated inflammatory response, may also benefit patients who experience vascular occlusion after permanent filler injection.

Conclusions: Administration of hyaluronidase and hyperbaric oxygenation should be considered for patients who develop arterial occlusions after dermal filler placement, regardless of the type of injected filler.

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高压氧治疗永久性真皮填充物注射后血管闭塞。
简介:动脉血管闭塞是真皮填充物注射的罕见并发症。本病例报告描述了成功使用高压氧治疗的病人血管闭塞后,永久性真皮填充物注入。病例报告:一名51岁妇女接受不可吸收的聚甲基丙烯酸甲酯微球注射到她的鼻唇襞。数小时后,患者右侧鼻唇沟暗变,周围皮肤变深,与血管闭塞一致。开始热敷和局部硝酸甘油治疗,并转介患者进行高压氧治疗。经6次高压氧治疗后,组织变色明显改善。讨论:虽然透明质酸酶被认为是与使用含有透明质酸的临时填充物相关的血管闭塞的治疗选择,但它也可能对使用永久性填充物后出现血管闭塞的患者有益。高压氧治疗,导致缺血组织的高氧和减轻相关的炎症反应,也可能对永久性填充物注射后血管闭塞的患者有益。结论:对于植入真皮填充物后出现动脉闭塞的患者,无论注射填充物的类型如何,都应考虑给予透明质酸酶和高压氧。
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来源期刊
Undersea and Hyperbaric Medicine
Undersea and Hyperbaric Medicine 医学-海洋与淡水生物学
CiteScore
1.60
自引率
11.10%
发文量
37
审稿时长
>12 weeks
期刊介绍: Undersea and Hyperbaric Medicine Journal accepts manuscripts for publication that are related to the areas of diving research and physiology, hyperbaric medicine and oxygen therapy, submarine medicine, naval medicine and clinical research related to the above topics. To be considered for UHM scientific papers must deal with significant and new research in an area related to biological, physical and clinical phenomena related to the above environments.
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