将软组织填充物血管栓塞风险降至最低的手术方法

M. Angelo-Khattar
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引用次数: 0

摘要

背景:软组织填充注射是非手术面部年轻化最广泛使用的治疗方法之一。虽然通常被认为是安全的,但在文献中经常报道罕见的灾难性副作用,其中最具破坏性的是不可逆转的失明。在软组织填充剂注射过程中,避免这些严重的血管事件是至关重要的。目的:本文提出一种手术方案,以极大地减少软组织填充物血管栓塞的风险。讨论:大量的尸体研究表明,血管解剖存在显著的个体间和个体内差异。因此,详细的解剖学知识虽然很重要,但并不总是足以防止大动脉意外插管。此外,最近在几种专有填充物质中加入了已知的血管扩张剂xylocaine,可能增加血管内注射的可能性。因此,避免使用填充物仍然是预防血管并发症的最重要因素。结论:如果严格遵循概述的治疗建议,可以极大地降低腔内注射软组织填充物的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Procedural Approach to Minimize the Risk of Embolization of Blood Vessels with Soft-Tissue Fillers
Background: Soft-tissue filler injections are amongst the most widely used treatments in nonsurgical facial rejuvenation. Although generally deemed safe, rare catastrophic side effects are regularly reported in the literature, the most devastating of which is irreversible blindness. The avoidance of these serious vascular events is of the utmost importance during soft tissue filler injections. Objective: This article suggests a procedural protocol to greatly minimize the risk of embolization of blood vessels with soft-tissue fillers. Discussion: Extensive cadaver studies have shown significant inter-individual and intra-individual variations in vascular anatomy. Hence, detailed knowledge of anatomy, albeit very important, is not always sufficient to prevent the accidental cannulation of major arteries. Furthermore, the recent inclusion of xylocaine, a known vasodilator, in several proprietary filler substances, may increase the probability of intravascular injection. Hence, avoidance remains the single most important factor in preventing the dire outcomes of vascular complications with filler substances. Conclusion: The outlined treatment recommendation, if diligently followed, may greatly minimize the risk of intraluminal injection with soft-tissue fillers.
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