Características ultrassonográficas dos preenchedores faciais: revisão sistemática ilustrada e guia para identificação dos preenchedores
DOI:
https://doi.org/10.11606/issn.1679-9836.v105i1e-235693Palavras-chave:
Orofacial, Preenchedores Dérmicos, Imagem por Ultrassom, UltrasonografiaResumo
O objetivo desta revisão sistemática foi descrever as características ultrassonográficas dos preenchimentos faciais dérmicos. Quatro bases bibliográficas (PubMed CentralÒ, EmbaseÒ, ScopusÒ, and Web of ScienceÒ) foram utilizadas as seguintes palavras-chave: “Computer Echotomography” OR “Echotomography” OR “Echography” OR “Ultrasonic Diagnosis” OR “Diagnostic Ultrasound” OR “Ultrasonic Tomography” OR “Medical Sonography” OR “Ultrasonic Imaging” OR “Ultrasound Imaging” OR “Ultrasonographic Imaging” AND “Dermal Filler” OR “Skin Filler” OR “Skin Fillers” OR “Hyaluronic Acid” OR “Injection Fillers” OR “Injection Filler” AND “Face” OR “Lip” OR “Mouth” OR “Mandible” OR “Chin” OR “Mental Region” OR “Maxillofacial Procedures” OR “Zygoma”. Um total de 16 estudos observacionais foram incluídos, provenientes de diversos países, como Reino Unido, Itália, Espanha, Chile, Polônia, Estados Unidos, Canadá, China, Rússia e Brasil. Tais estudos avaliaram diferentes preenchedores dérmicos por meio de ultrassonografia em variados contextos clínicos, fornecendo dados comparáveis para o mapeamento dos padrões de imagem. Os preenchedores dérmicos avaliados foram o ácido hialurônico, hidrogel de poliacrilamida, amida de polialquilimida, óleo de silicone, hidroxiapatita de cálcio, preenchedores à base de polimetilmetacrilato (PMMA) e gordura autóloga. Os preenchedores de ácido hialurônico e colágeno apresentaram padrões hipoecoicos amplamente sobrepostos, enquanto o PMMA, silicone líquido, hidroxiapatita de cálcio e preenchedores à base de poliacrilamida demonstram imagens ultrassonográficas mais distintivas, incluindo aspecto de ‘flocos de neve’ grosseiros, sombra acústica ou hiperecogenicidade heterogênea. Concluindo, a identificação de preenchedores dérmicos é complexa. Os padrões distintos exibidos por alguns preenchedores dérmicos podem ser efetivamente detectados pela imagem ultrassonográfica, enquanto outros apresentam características de imagem sobrepostas
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Direitos autorais (c) 2026 Maria Fernanda Rabelo Thomaz, Alexia Victória Klassen, Isabelle Tomelin Rothenburg, Tabada Deusdado Bertani, Bruno Lucena Antunes Abrantes, Claudio Fróes de Freitas, Emiko Saito Arita, Plauto Christopher Aranha Watanabe, Yeda da Silva, LUCIANA MUNHOZ, Gabriel Colla Cordasso
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
