Palabras clave
Ácido hialurónico
Rinomodelación
Hialuronidasa
Necrosis cutánea
Cómo citar
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Resumen
Objetivo: Evaluar las complicaciones derivadas de la aplicación de ácido hialurónico en los procedimientos de rinomodelación y cómo la presencia de este relleno impacta en las acciones en una futura intervención quirúrgica de rinoplastia y los cuidados que debe tener el cirujano durante el procedimiento. Revisión bibliográfica: El granuloma es un evento adverso importante, tardío y raro. La necrosis cutánea es una de las complicaciones precoces más graves y temidas. Los eventos vasculares pueden resultar en secuelas permanentes. La disección de la nariz con presencia de relleno residual puede generar dificultades en el procedimiento. Las acciones realizadas pueden sufrir modificaciones con el tiempo, alterando el resultado final. Se debe evaluar lo inyectado previamente, la capa de aplicación y considerar la posibilidad de presencia de tejido fibrocicatricial. Consideraciones finales: Los cirujanos deben verificar la ocurrencia de intervenciones previas como los rellenos. Puede usar ultrasonido y/o transluminiscencia para detectar ubicación, volumen, fibrosis del tejido y otros factores que pueden afectar el resultado final.
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