Adverse reactions to the injection of face and neck aesthetic filling materials: a systematic review.

BACKGROUND: Adverse reactions, caused during the inflammation and healing process, or even later, can be induced by the injection of dermal filler and can present a variety of clinical and histological characteristics. In this study we aimed to review the adverse reactions associated with the injection of aesthetic filling materials in the face and neck. MATERIAL AND METHODS: The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Studies published that mentioned adverse reactions in patients with aesthetic filling materials in the face or neck were included. Risk of bias was assessed using the Joanna Briggs Institute appraisal tool. After a 2-step selection process, 74 studies were included: 51 case reports, 18 serial cases, and five cohorts. RESULTS: A total of 303 patients from 20 countries were assessed. Lesions were more prevalent in the lip (18%), nasolabial folds (13%), cheeks (13%), chin (10%), submental (8%), glabella (7%), and forehead (6%). Histopathological analysis revealed a foreign body granuloma in 87.1% of the patients, 3% inflammatory granuloma, 3% lipogranuloma, 2.3% xanthelasma-like reaction, 1% fibrotic reaction, 0.7% amorphous tissues, 0.7% xanthelasma, 0.3% sclerosing lipogranuloma, 0.3% siliconoma, and 0.3% foreign body granuloma with scleromyxedema. In addition, two patients displayed keratoacanthoma and two others displayed sarcoidosis after cutaneous filling. The most commonly used materials were silicone fillers (19.7%), hyaluronic acid (15.5%), and hydroxyethyl methacrylate/ethyl methacrylate suspended in hyaluronic acid acrylic hydrogel (5.6%). All patients were treated, and only 12 had prolonged complications. CONCLUSIONS: There is evidence that adverse reaction can be caused by different fillers in specific sites on the face. Although foreign body granuloma was the most common, other adverse lesions were diagnosed, exacerbating systemic diseases. In this way, we reinforce the importance of previous systemic evaluations and histopathological analyses for the correct diagnosis of lesions.

Use of blood residue as alternative source of phosphorus in sunflower (Helianthus annuus L. ) cultivation / [Utilização de resíduo de sangue como fonte alternativa de fósforo no cultivo de girassol (Helianthus annuus L. )]

The aim of this work was to increase the aerial part, biometry, and yield of achenes from sunflower plants on the effect of increasing doses of blood residue, as an alternative source of phosphorus (P), in a clayey-textured red Oxisol. The experimental design used was randomized blocks, with six treatments and four replications. The treatments consisted of five doses of blood residue (0, 6, 12, 24 and 48m3 ha-1) and a control treatment that received phosphate chemical fertilization, 80kg ha-1 of P2O5. The increasing doses of blood residue and chemical fertilization do not show disproportionality for P concentration in soil, leaf, plant height (PH), stem diameter (SD), chapter diameter (CD) and achene production. The analysis of the principal component (PC) revealed that the first PC presents the greatest accumulated variation (74%). Based on the first PC, the dose of 12m-3 ha-1 has greater influence for PH, SC, and CD. Due to the greater influence on the biometric characteristics of sunflower plants, the blood residue (12m-3 ha-1 = 98.4kg P ha-1), can be used as an alternative source of phosphorus for the cultivation of sunflower in clayey oxisols.

Objetivou-se com este trabalho verificar biometria de parte aérea, rendimento de aquênios de plantas de girassol sobre o efeito de doses crescentes de resíduo de sangue, como fonte alternativa de fósforo (P), em um Latossolo vermelho de textura argilosa. O delineamento experimento utilizado foi o de blocos casualizados, com seis tratamentos e quatro repetições. Os tratamentos foram constituídos por cinco doses de resíduo de sangue (0, 6, 12, 24 e 48m3 ha-1) e um tratamento que recebeu a adubação fosfatada química, 80kg ha-1 de P2O5. As doses crescentes de resíduo de sangue e adubação química não demostram desproporcionalidade para a concentração de P no solo, folha, altura de planta (AP), diâmetro de caule (DC), diâmetro de capítulo (DCP) e produção de aquênios. A análise de componentes (CP) principais revelou que o primeiro CP apresenta maior variação acumulada (74%). Baseado no primeiro CP, a dose de 12 m-3 ha-1exibe maior influência para AP, DC e DCP. Devido a maior influência sobre as características biométricas em plantas de girassol, o resíduo de sangue (12m-3 ha-1 = 98,4kg P ha-1), pode ser utilizado como fonte alternativa de fósforo para o cultivo de girassol em Latossolos de textura argilosa.