[Results of X-ray examination of the dental-alveolar complex in patients with asymmetric lymphostasis after contour injection facial plastic surgery].

Abstract

Objective: The aim of the study is to assess the role of the dentoalveolar pathology in the face soft tissues lymphostasis development in patients after facial contour injection plastic.

Material and methods: Clinical, ultrasound and dental X-ray examination was performed in 37 patients (36 women and 1 man) aged 21 to 70 years with facial lymphedema and close history of facial CIP. The patients were divided into two groups: early development of complications - up to 4 weeks (17 patients - 45.9%) and delayed development - from 4 weeks or more (20 patients - 54.1%). Unilateral facial lymphedema was diagnosed in 17 patients, and bilateral lymphedema with greater severity on one side was diagnosed in 20 patients.

Results: Among the examined patients with facial lymphedema, patients after multiple CIP predominated (62.2%). Early complications prevailed in patients with single CIP (64.3%), delayed complications prevailed in patients with multiple CIP (65.2%). In patients with multiple CIP the lymphedema grade 2 and 3 predominated, in patients with a single CIP grade 0 and 1. X-ray dental examination detected inflammatory dental diseases in 86.5% of patients: in all cases changes on the side of lymphostasis predominated.

Conclusion: Facial CIP is not a harmless procedure and may have undesirable consequences in the form of regional lymphostasis (lymphedema). Inflammatory dental diseases are an important pathogenetic link in the occurrence of facial lymphedema after CIP. A clinical examination of the patient's oral cavity should be supplemented by an X-ray dental examination. The detection of inflammatory dental diseases requires mandatory oral sanation to reduce the risk of post-injection complications and prevent complications afner subsequent injection procedures.