POCUS in the Management of Complications with Barbed Polydioxanone (PDO) Threads in Aesthetic Medicine: Case Report.

POCUS journal Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI:10.24908/pocusj.v11i01.19968
Rhaina Alves Setúbal, Rachel Brazuna Solidonio, Luiz Filipe Barbosa Martins, Daniel Almeida Ferreira Barbosa, Thâmara Manoela Marinho Bezerra, Delane Viana Gondim, Luane Macêdo de Sousa
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Abstract

Point of care ultrasound (POCUS) is becoming an essential tool in aesthetic medicine, allowing clinicians to evaluate tissues in real time and respond promptly to complications. We present the case of a 42-year-old woman with diabetes who developed swelling, pain, and purulent drainage shortly after undergoing nonsurgical rhinoplasty with hyaluronic acid and polydioxanone (PDO) threads. POCUS quickly revealed an abscess surrounding a thread knot as well as additional fluid collections along the nasal dorsum. These findings guided the surgical plan and enabled real-time visualization during thread removal, improving safety and ensuring complete extraction. Histology later confirmed granulomatous inflammation. The patient recovered without further issues. This case illustrates how POCUS can assist in diagnosing and guiding the treatment of aesthetic complications, reinforcing its value as a simple, non-invasive tool that enhances patient safety and outcomes in everyday clinical practice.

POCUS在美容医学中处理有刺聚二氧环酮(PDO)线并发症的病例报告。
护理点超声(POCUS)正在成为美容医学的重要工具,使临床医生能够实时评估组织并及时应对并发症。我们报告一例42岁的糖尿病女性患者,她在接受透明质酸和聚二恶酮(PDO)线非手术鼻成形术后不久出现肿胀、疼痛和脓性引流。POCUS很快发现一个脓肿围绕着一个线结,以及沿鼻背的额外积液。这些发现指导了手术计划,并在脱线过程中实现了实时可视化,提高了安全性并确保完全拔出。组织学证实为肉芽肿性炎症。病人康复了,没有进一步的问题。本病例说明POCUS如何协助诊断和指导美学并发症的治疗,增强其作为一种简单、无创工具的价值,在日常临床实践中提高患者的安全性和预后。
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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