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Complications after polymethylmethacrylate injections: report of 32 cases.

Identifieur interne : 003294 ( PubMed/Corpus ); précédent : 003293; suivant : 003295

Complications after polymethylmethacrylate injections: report of 32 cases.

Auteurs : Alessandra Grassi Salles ; Priscilla Helena Lotierzo ; Rolf Gemperli ; Júlio Morais Besteiro ; Luís Carlos Ishida ; Rodrigo Pinto Gimenez ; Jorge Menezes ; Marcus Castro Ferreira

Source :

RBID : pubmed:18454007

English descriptors

Abstract

During the past 15 years, polymethylmethacrylate has been used as a synthetic permanent filler for soft-tissue augmentation.

DOI: 10.1097/PRS.0b013e31816b1385
PubMed: 18454007

Links to Exploration step

pubmed:18454007

Le document en format XML

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<name sortKey="Salles, Alessandra Grassi" sort="Salles, Alessandra Grassi" uniqKey="Salles A" first="Alessandra Grassi" last="Salles">Alessandra Grassi Salles</name>
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<nlm:affiliation>Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Brazil. agsalles@uol.com.br</nlm:affiliation>
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<name sortKey="Lotierzo, Priscilla Helena" sort="Lotierzo, Priscilla Helena" uniqKey="Lotierzo P" first="Priscilla Helena" last="Lotierzo">Priscilla Helena Lotierzo</name>
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<name sortKey="Gemperli, Rolf" sort="Gemperli, Rolf" uniqKey="Gemperli R" first="Rolf" last="Gemperli">Rolf Gemperli</name>
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<name sortKey="Besteiro, Julio Morais" sort="Besteiro, Julio Morais" uniqKey="Besteiro J" first="Júlio Morais" last="Besteiro">Júlio Morais Besteiro</name>
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<name sortKey="Ishida, Luis Carlos" sort="Ishida, Luis Carlos" uniqKey="Ishida L" first="Luís Carlos" last="Ishida">Luís Carlos Ishida</name>
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<name sortKey="Gimenez, Rodrigo Pinto" sort="Gimenez, Rodrigo Pinto" uniqKey="Gimenez R" first="Rodrigo Pinto" last="Gimenez">Rodrigo Pinto Gimenez</name>
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<name sortKey="Menezes, Jorge" sort="Menezes, Jorge" uniqKey="Menezes J" first="Jorge" last="Menezes">Jorge Menezes</name>
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<name sortKey="Ferreira, Marcus Castro" sort="Ferreira, Marcus Castro" uniqKey="Ferreira M" first="Marcus Castro" last="Ferreira">Marcus Castro Ferreira</name>
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<name sortKey="Lotierzo, Priscilla Helena" sort="Lotierzo, Priscilla Helena" uniqKey="Lotierzo P" first="Priscilla Helena" last="Lotierzo">Priscilla Helena Lotierzo</name>
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<title level="j">Plastic and reconstructive surgery</title>
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<term>Adult</term>
<term>Aged</term>
<term>Biocompatible Materials (administration & dosage)</term>
<term>Biocompatible Materials (adverse effects)</term>
<term>Brazil</term>
<term>Cheilitis (epidemiology)</term>
<term>Cheilitis (etiology)</term>
<term>Cheilitis (surgery)</term>
<term>Chronic Disease</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Foreign-Body Reaction (epidemiology)</term>
<term>Foreign-Body Reaction (etiology)</term>
<term>Foreign-Body Reaction (surgery)</term>
<term>Granuloma, Foreign-Body (epidemiology)</term>
<term>Granuloma, Foreign-Body (etiology)</term>
<term>Granuloma, Foreign-Body (surgery)</term>
<term>Humans</term>
<term>Injections, Intradermal</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polymethyl Methacrylate (administration & dosage)</term>
<term>Polymethyl Methacrylate (adverse effects)</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (surgery)</term>
<term>Prostheses and Implants (adverse effects)</term>
<term>Reoperation</term>
<term>Rhytidoplasty</term>
<term>Surgical Wound Infection (epidemiology)</term>
<term>Surgical Wound Infection (etiology)</term>
<term>Surgical Wound Infection (surgery)</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Biocompatible Materials</term>
<term>Polymethyl Methacrylate</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Biocompatible Materials</term>
<term>Polymethyl Methacrylate</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Brazil</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Prostheses and Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Cheilitis</term>
<term>Foreign-Body Reaction</term>
<term>Granuloma, Foreign-Body</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Cheilitis</term>
<term>Foreign-Body Reaction</term>
<term>Granuloma, Foreign-Body</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
</keywords>
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<term>Cheilitis</term>
<term>Foreign-Body Reaction</term>
<term>Granuloma, Foreign-Body</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
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<term>Adult</term>
<term>Aged</term>
<term>Chronic Disease</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intradermal</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reoperation</term>
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<front>
<div type="abstract" xml:lang="en">During the past 15 years, polymethylmethacrylate has been used as a synthetic permanent filler for soft-tissue augmentation.</div>
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<Year>2008</Year>
<Month>05</Month>
<Day>05</Day>
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<DateCompleted>
<Year>2008</Year>
<Month>05</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>06</Month>
<Day>24</Day>
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<Volume>121</Volume>
<Issue>5</Issue>
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<Month>May</Month>
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<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Complications after polymethylmethacrylate injections: report of 32 cases.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">During the past 15 years, polymethylmethacrylate has been used as a synthetic permanent filler for soft-tissue augmentation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This article reports 32 cases of complications seen at Hospital das Clínicas, Faculty of Medicine, University of São Paulo, for procedures performed elsewhere.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The average age of the patients was 43.6 years (range, 22 to 70 years). Twenty-five patients were women. Sixteen injection procedures were performed by certified plastic surgeons, nine by dermatologists, two by urologists, and one by a nonphysician. Complications were classified into five groups according to main presentation as follows: tissue necrosis (five cases), an acute complication that can be related to technical mistakes but that can also be dependent on patient factors or caused by local infection; granuloma (10 cases), which usually presents as a subacute complication 6 to 12 months after the procedure; chronic inflammatory reactions (10 cases), which usually occur years later and can be related to a triggering event, such as another operation or infection in the area that was injected (these reactions are immunogenic in origin and may have cyclic periods of activation and remission); chronic inflammatory reaction in the lips (six cases), which may be present with severe symptoms, especially with lymphedema, because of mobility of the lip; and infections (one case), which are rare but possible complications after filling procedures.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Polymethylmethacrylate filler complications, despite being rare, are often permanent and difficult or even impossible to treat. Safety guidelines should be observed when considering use of polymethylmethacrylate for augmentation.</AbstractText>
</Abstract>
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<LastName>Salles</LastName>
<ForeName>Alessandra Grassi</ForeName>
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<Language>eng</Language>
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<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Plast Reconstr Surg</MedlineTA>
<NlmUniqueID>1306050</NlmUniqueID>
<ISSNLinking>0032-1052</ISSNLinking>
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<RefSource>Plast Reconstr Surg. 2009 Jul;124(1):342-3</RefSource>
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