Dangerous and Under-Recognized Arteries of the Glabella-An Ultrasound Study of Central and Paracentral Arteries and Risk During Filler Injection.

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-03-17 DOI:10.1097/DSS.0000000000004622

Robyn Siperstein, Ahmad Nazari

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引用次数: 0

Abstract

Background: Injecting fillers in the glabella is dangerous due to the presence of the central and paracentral arteries. These superficial arteries can connect to the ophthalmic artery putting patients at risk for blindness and stroke.

Objective: Determine the prevalence of the central and paracentral arteries (PCA) utilizing a portable ultrasound device.

Materials and methods: A retrospective review of ultrasound data to determine the incidence and location of glabellar arteries at the level of the medial eyebrow in 29 Iranian subjects.

Results: The central and PCA were found on ultrasound in 26 and 36 of the 58 sides, respectively. The average distance from midline to the central and PCA was 4.1 mm (range 1.8-6.7 mm) and 8.2 mm (6.8-10.1 mm), respectively. The average depth from the skin to the central and PCA was 2.7 mm (2.2-3.2) and 3.0 mm (2.6-3.4 mm), respectively. Almost all patients (26/29) had at least 1 artery in the subcutaneous plane underlying the glabella. Increased body mass index resulted in increased arterial depth.

Conclusion: Portable ultrasound was able to detect the central and paracentral arteries in most patients. Knowledge of the existence of these arteries and their subdermal location may be important to develop strategies to increase the safety of glabellar filler injections.

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背景：由于中央动脉和旁中央动脉的存在，在睑板处注射填充物是非常危险的。这些浅表动脉可与眼动脉相连，使患者面临失明和中风的风险：利用便携式超声设备确定中央动脉和副中央动脉 (PCA) 的患病率：对 29 名伊朗受试者的超声波数据进行回顾性分析，以确定眉内侧水平睑动脉的发生率和位置：结果：58 例受试者中，分别有 26 例和 36 例在超声检查中发现了中央和 PCA。从中线到中央动脉和 PCA 的平均距离分别为 4.1 毫米（范围为 1.8-6.7 毫米）和 8.2 毫米（6.8-10.1 毫米）。从皮肤到中心和 PCA 的平均深度分别为 2.7 毫米（2.2-3.2）和 3.0 毫米（2.6-3.4）。几乎所有患者（26/29）的睑下垂皮下平面都至少有一条动脉。体重指数增加会导致动脉深度增加：结论：便携式超声波能检测出大多数患者的中央动脉和旁中央动脉。了解这些动脉的存在及其在皮下的位置，对于制定提高眼袋填充剂注射安全性的策略可能非常重要。

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

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.