A case of bone resorption in the mentum caused by hyaluronic acid filler in a patient with skeletal Class II jaw deformity

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2024-11-07 DOI:10.1002/ccr3.9150

Takayuki Nakagawa, Shigehiro Ono, Miyuki Sakuma, Yoko Ishida, Kuniko Mizuta, Ryo Uetsuki, Keijyuro Odan, Yuko Shintaku, Masataka Higuchi, Yutaka Matsushita, Shunichi Kojima, Isao Hirata, Koichi Kato, Tomonao Aikawa

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引用次数: 0

Abstract

Key Clinical Message

Chin augmentation by hyaluronic acid filler injection rarely causes abnormal bone resorption in the mentum. Thus, when taking the history of a patient with jaw deformity, it is imperative to check the history of treatment of the mentum.

Hyaluronic acid (HA) filler injection is a common procedure in nonsurgical cosmetic chin augmentation. Due to its high biocompatibility and simple injection technique, HA filler injection is a popular procedure. However, adverse events such as allergic reactions and foreign body reactions have been reported in some cases. In this study, we report a case of skeletal Class II jaw deformity in which bone resorption was observed in the mentum after HA filler injection. The purpose of this study is to discuss the indications for HA filler injection in skeletal Class II cases that require orthognathic surgery. The patient was a 30-year-old woman. To improve retrusion of the mentum, she has been receiving HA filler injections in the mentum three times every 6 months in the cosmetic surgery clinic since 2015. However, the retrusion of the mentum did not improve, which prompted here to visit the orthodontic clinic. Radiographs and CT revealed bowl-shaped bone resorption surrounding the foreign bodies in the mentum. She was diagnosed with maxillary protrusion, vertical maxillary excess, mandibular retrusion, and bilateral condylar resorption. Bimaxillary orthognathic surgery (BOGS) and removal of residual HA fillers were planned after completion of the preoperative orthodontic treatment. After BOGS, the foreign bodies were completely removed, and the resorption cavities were filled with excess bone segments from the surgical sites. X-ray photoelectron spectroscopy analysis of the foreign bodies suggested the presence of HA. One year after the BOGS, no progression of condylar resorption occurred, and bone healing at the mentum had a good prognosis. Therefore, the patient underwent reduction and advancement genioplasty. She was satisfied with her facial profile and occlusal function. Unexpected bone resorption in the mentum caused by HA filler injection is often discovered incidentally. Although, patients may feel hesitant to confess their history of treatment of the mentum, it is important to ensure that they are carefully interviewed.

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查看原文本刊更多论文

一例下颌骨骼二级畸形患者因玻尿酸填充物而导致牙槽骨吸收的病例。

关键临床信息：通过注射玻尿酸填充物来丰下巴很少会导致牙槽骨异常吸收。因此，在了解下颌畸形患者的病史时，必须检查其牙槽骨的治疗史。摘要：透明质酸（HA）填充物注射是非手术美容隆下巴的常见方法。由于其生物相容性高、注射技术简单，玻尿酸填充剂注射是一种流行的手术。然而，也有一些病例报告了过敏反应和异物反应等不良事件。在本研究中，我们报告了一例骨骼二级颌骨畸形病例，该病例在注射 HA 填充剂后观察到牙槽骨发生骨吸收。本研究的目的是讨论在需要进行正颌手术的骨骼II类病例中注射HA填充剂的适应症。患者是一名 30 岁的女性。为改善牙槽骨后缩，她自2015年起在美容外科诊所接受了每6个月3次的牙槽骨HA填充注射。然而，门牙后缩的情况并未得到改善，这促使她来到正畸诊所就诊。X光片和CT显示，门齿异物周围有碗状骨吸收。她被诊断为上颌前突、上颌垂直过度、下颌后缩和双侧髁状突吸收。在完成术前正畸治疗后，计划进行双颌正颚手术（BOGS）和清除残留的 HA 填充物。双颌正颌手术后，异物被完全清除，吸收腔由手术部位多余的骨段填充。异物的 X 射线光电子能谱分析表明存在 HA。BOGS 一年后，髁状突吸收没有继续发展，牙槽骨愈合预后良好。因此，患者接受了颌骨缩小和前移成形术。她对自己的面部轮廓和咬合功能都很满意。因注射 HA 填充物而导致的牙槽骨意外吸收往往是偶然发现的。虽然患者可能会犹豫是否要坦白自己的牙槽骨治疗史，但确保对他们进行仔细询问是非常重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).