The Role of Anastomotic Vessels in Controlling Tissue Viability and Defining Tissue Necrosis with Special Reference to Complications following Injection of Hyaluronic Acid Fillers

Plastic and Reconstructive Surgery
Mark W AshtonRussell J Corlett

Abstract

Most target areas for facial volumization procedures relate to the anatomical location of the facial or ophthalmic artery. Occasionally, inadvertent injection of hyaluronic acid filler into the arterial circulation occurs and, unrecognized, is irreparably associated with disastrous vascular complications. Of note, the site of complications, irrespective of the injection site, is similar, and falls into only five areas of the face, all within the functional angiosome of the facial or ophthalmic artery. Retrospective and prospective studies were performed to assess the site and behavior of anastomotic vessels connecting the angiosomes of the face and their possible involvement in the pathogenesis of tissue necrosis. In vivo studies of pig and rabbit, and archival human total body and prospective selective lead oxide injections of the head and neck, were analyzed. Results were compared with documented patterns of necrosis following inadvertent hyaluronic acid intraarterial or intravenous injection. Studies showed that the location of true and choke anastomoses connecting the facial artery with neighboring angiosomes predicted the tissue at risk of necrosis following inadvertent intraarterial hyaluronic acid injection. Complication...Continue Reading

References

Aug 1, 1990·Plastic and Reconstructive Surgery·G I TaylorJ G Crock
Mar 1, 1987·British Journal of Plastic Surgery·G I Taylor, J H Palmer
Feb 19, 2000·The Laryngoscope·D H JungI H Chung
Jun 9, 2000·Plastic and Reconstructive Surgery·N D HousemanW R Pan
Jan 10, 2001·Plastic and Reconstructive Surgery·S C Dhar, G I Taylor
Oct 19, 2002·The British Journal of Ophthalmology·T R Hedges
Jun 1, 2005·Plastic and Reconstructive Surgery·Hiroo SuamiWei-Ren Pan
Jun 19, 2007·Plastic and Reconstructive Surgery·Hiroo SuamiWei-Ren Pan
Mar 5, 2008·Plastic and Reconstructive Surgery·Keita InoueKotaro Yoshimura
Nov 18, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Frank BachmannBerthold Rzany
Nov 18, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Sue Ellen Cox
Dec 22, 2009·Facial Plastic Surgery : FPS·Michael J Weinberg, Nowell Solish
May 5, 2010·Plastic and Reconstructive Surgery·Benjamin BurtRobert A Goldberg
Feb 12, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Tae-Hwan ParkChoong-Hyun Chang
Sep 8, 2011·Journal of Cosmetic Dermatology·Ramtin KassirMartin Kassir
Nov 16, 2011·Ophthalmic Plastic and Reconstructive Surgery·Young Jun KimJin Sook Yoon
Mar 30, 2012·Plastic and Reconstructive Surgery·Davide LazzeriStefano Lazzeri
Jul 28, 2012·American Journal of Ophthalmology·Sung Wook ParkO-Ki Kwon
Dec 5, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Kate KleydmanEllen Marmur
Jan 30, 2013·Plastic and Reconstructive Surgery·Yong Joon Kim, Kyung Seek Choi
May 3, 2013·Aesthetic Surgery Journal·Claudio DeLorenzi
Jul 5, 2013·Aesthetic Surgery Journal·Cemile Nurdan OzturkJames E Zins
Nov 28, 2013·Plastic and Reconstructive Surgery·G Ian TaylorMark W Ashton
Mar 29, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Davide LazzeriStefano Lazzeri
Apr 3, 2014·Aesthetic Surgery Journal·Claudio DeLorenzi
Sep 11, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Yi-Suk KimHee-Jin Kim
Nov 22, 2014·Plastic and Reconstructive Surgery·Jean D A CarruthersAlastair Carruthers
Mar 21, 2015·Ophthalmic Plastic and Reconstructive Surgery·Catherine J HwangGary Duckwiler
Jul 1, 2015·Ophthalmic Plastic and Reconstructive Surgery·Shu-Hong ChangMichael C Chappell
Sep 12, 2015·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Katie BeleznayDerek Jones
Oct 7, 2015·Plastic and Reconstructive Surgery·Berthold Rzany, Claudio DeLorenzi
Apr 28, 2016·Aesthetic Plastic Surgery·Yan ZhuangChunjun Liu
Sep 28, 2017·Plastic and Reconstructive Surgery·G Ian TaylorMark W Ashton

❮ Previous
Next ❯

Citations

Jul 30, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Sama K CarleyJoel L Cohen
Jul 11, 2020·Journal of Cosmetic Dermatology·Assaf ZeltzerMoustapha Hamdi
Jun 6, 2020·Journal of Cosmetic Dermatology·Greg J GoodmanCatherine Porter
Nov 20, 2020·Journal of Cutaneous and Aesthetic Surgery·Hina JajoriaVenkataram Mysore

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Plastic and Reconstructive Surgery
Pierluigi GigliofioritoPaolo Persichetti
Clinical Practice and Cases in Emergency Medicine
Sarah Grzybinski, Elizabeth Temin
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Deok-Woo KimEun-Sang Dhong
© 2022 Meta ULC. All rights reserved