在填充剂注射后双边半面
Alyson Kishi1, Celestine H Gregerson2,3, Cameron Yang2,3
1The Ohio State University College of Medicine.
Ophthalmic plastic and reconstructive surgery
|June 9, 2025
概括
一名患者在注射聚-L-乳酸 (PLLA) 填充剂后出现了半面. 这个案例表明PLLA填充剂和面部神经压缩之间的潜在联系,导致.
科学领域:
- 神经学 神经学
- 皮肤病学 皮肤病学
- 眼科医生 眼科 眼科
背景情况:
- 面部神经障碍可以表现为半面部.
- 包括聚-L-乳酸 (PLLA) 在内的皮肤填充剂广泛用于化品增强.
- 皮肤填充剂的并发症虽然很少见,但可能涉及神经系统的后果.
研究的目的:
- 报告双边半面的第一个病例,可能与聚-L-乳酸 (PLLA) 皮肤填充剂注射有关.
- 研究PLLA填充剂放置与面部神经刺激之间的关系.
主要方法:
- 一个57岁妇女的案例研究,在PLLA填充剂后呈现出 Hemifacial .
- 临床检查包括眼科评估.
- 磁共振成像 (MRI) 以可视化填充剂的位置和解剖关系.
主要成果:
- 病人经历左半面 1-2周后PLLA注射到殿和脸.
- 磁力共振成像证实皮下PLLA填充剂邻面神经和面神经分支.
- 随着加巴丁的使用而改善,后来在右侧发展,这表明双边参与.
结论:
- 聚-L-乳酸 (PLLA) 填充剂可能会由于面部神经的压缩或刺激而导致面部.
- 这一案例突出了PLLA皮肤填充剂的新潜在并发症.
- 需要进一步的研究,以了解填充剂诱导的面部神经并发症的机制和发生率.
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