Complicações e lesões orais associadas ao preenchimento labial com ácido hialurônico
DOI:
https://doi.org/10.22456/2177-0018.136881Palavras-chave:
Ácido hialurônico, Preenchedores dérmicos, Efeitos colaterais e reações adversas relacionados a medicamentos, Eventos adversos, LábioResumo
Objetivo: Revisar a literatura a respeito da ocorrência de possíveis reações adversas e complicações decorrentes da utilização do ácido hialurônico para preenchimento labial. Revisão de literatura: As reações foram classificadas em imediatas ou precoces e tardias. Dentre as reações imediatas e precoces, foram encontrados eritema, dor, edema, hematoma, necrose, reações de hipersensibilidade, coloração azulada, processos infecciosos e presença de nódulos. As reações tardias foram descritas como granulomas e reações de corpo estranho, migração do material de preenchimento e cicatriz hipertrófica. Discussão: As reações adversas ao preenchimento labial acontecem devido às propriedades físico-químicas do material, falta de conhecimento anatômico e técnica inadequada. A maior parte das reações adversas podem ser diagnosticadas por meio de seus aspectos clínicos. No entanto, outros exames podem ser empregados, sendo a ultrassonografia é o método mais confiável para a investigação e identificação do agente de preenchimento. O tratamento, quando necessário, se baseia principalmente na injeção intralesional de corticoide ou hialuronidase. Conclusão: A identificação, formas de prevenção e intervenção precoce nas possíveis reações adversas são fundamentais para evitar o agravamento da complicação a longo prazo, além de aumentar a segurança na realização do preenchimento labial.
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