BACKGROUND Autologous fat injection in facial reconstruction is a common cosmetic surgery.Although cerebral fat embolism(CFE)as a complication is rare,it carries serious health risks.CASE SUMMARY We present a case of ...BACKGROUND Autologous fat injection in facial reconstruction is a common cosmetic surgery.Although cerebral fat embolism(CFE)as a complication is rare,it carries serious health risks.CASE SUMMARY We present a case of a 29-year-old female patient who developed acute CFE following facial fat filling surgery.After the surgery,the patient experienced symptoms including headache,nausea,vomiting,and difficulty breathing,which was followed by neurological symptoms such as slurred speech and left-sided weakness.Comprehensive physical examination and auxiliary investigations,including blood tests,head and neck computed tomography angiography,and cranial magnetic resonance diffusion-weighted imaging,were performed upon admission.The clinical diagnosis was acute cerebral embolism following facial fat filling surgery.Treatment included measures to improve cerebral circulation,dehydration for intracranial pressure reduction,nutritional support,and rehabilitation therapy for left limb function.The patient showed a significant improvement in symptoms after 2 weeks of treatment.She recovered left limb muscle strength to grade 5,had clear speech,and experienced complete relief of headache.CONCLUSION Our case highlights the potential occurrence of severe complications in patients undergoing fat injection in facial reconstruction.To prevent these complications,plastic surgeons should enhance their professional knowledge and skills.展开更多
We simulated the stress changes around a salt basin using a static salt structure model under compressive stress background to investigate the stress perturbation caused by different salt body shapes and amplitudes. W...We simulated the stress changes around a salt basin using a static salt structure model under compressive stress background to investigate the stress perturbation caused by different salt body shapes and amplitudes. We designed a two-layer salt model with three bulges and sags using finite element methods to calculate the stress perturbation around the salt. The results show that salt shape is closely related to the stress perturbation in the sediments around the salt, and the fluctuations of the bulge and sag(smooth or steep) can also affect the stress perturbation magnitude. Extrusion horizontal stress, normal stress, and out-of-plane stress on the plane would occur near the salt uplift in a compressive tectonic stress environment. In contrast, tensile horizontal stress, out-of-plane stress, and vertical stress would occur near the salt sag. In addition, smoother bulges are associated with smaller produced stress perturbations, and steeper sags are associated with a greater reduction of stress perturbation in the sediment. The stress of a salt structure in western Kelasu of the Kuqa depression was simulated and the applicability of previous conclusions regarding this structure was verified. These conclusions provide scientific basis for the prediction of stress perturbations around salt basin systems.展开更多
基金Supported by The National Natural Science Foundation of China,No.82171334The Chongqing Science and Health Joint Medical Research Project,No.2024MSXM155.
文摘BACKGROUND Autologous fat injection in facial reconstruction is a common cosmetic surgery.Although cerebral fat embolism(CFE)as a complication is rare,it carries serious health risks.CASE SUMMARY We present a case of a 29-year-old female patient who developed acute CFE following facial fat filling surgery.After the surgery,the patient experienced symptoms including headache,nausea,vomiting,and difficulty breathing,which was followed by neurological symptoms such as slurred speech and left-sided weakness.Comprehensive physical examination and auxiliary investigations,including blood tests,head and neck computed tomography angiography,and cranial magnetic resonance diffusion-weighted imaging,were performed upon admission.The clinical diagnosis was acute cerebral embolism following facial fat filling surgery.Treatment included measures to improve cerebral circulation,dehydration for intracranial pressure reduction,nutritional support,and rehabilitation therapy for left limb function.The patient showed a significant improvement in symptoms after 2 weeks of treatment.She recovered left limb muscle strength to grade 5,had clear speech,and experienced complete relief of headache.CONCLUSION Our case highlights the potential occurrence of severe complications in patients undergoing fat injection in facial reconstruction.To prevent these complications,plastic surgeons should enhance their professional knowledge and skills.
基金Supported by the China National Research and Development Project(2018YFC0603500,2016YFC0600310)
文摘We simulated the stress changes around a salt basin using a static salt structure model under compressive stress background to investigate the stress perturbation caused by different salt body shapes and amplitudes. We designed a two-layer salt model with three bulges and sags using finite element methods to calculate the stress perturbation around the salt. The results show that salt shape is closely related to the stress perturbation in the sediments around the salt, and the fluctuations of the bulge and sag(smooth or steep) can also affect the stress perturbation magnitude. Extrusion horizontal stress, normal stress, and out-of-plane stress on the plane would occur near the salt uplift in a compressive tectonic stress environment. In contrast, tensile horizontal stress, out-of-plane stress, and vertical stress would occur near the salt sag. In addition, smoother bulges are associated with smaller produced stress perturbations, and steeper sags are associated with a greater reduction of stress perturbation in the sediment. The stress of a salt structure in western Kelasu of the Kuqa depression was simulated and the applicability of previous conclusions regarding this structure was verified. These conclusions provide scientific basis for the prediction of stress perturbations around salt basin systems.
