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Milhomem AC, Gomes RS, Tomé FD, Dos Santos Arruda F, Franco PIR, da Costa EL, Pereira JX, Vinaud MC, de Souza Lino Júnior R. Polymethylmethacrylate Microspheres are Immunologically Inert in Mouse Tissues. Aesthetic Plast Surg 2023; 47:2813-2822. [PMID: 36607354 DOI: 10.1007/s00266-022-03243-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 12/18/2022] [Indexed: 01/07/2023]
Abstract
Nowadays, aesthetic concerns have gained attention, especially by patients looking for a less invasive alternative to minor facial corrections. Polymethylmethacrylate (PMMA) is widely used as a soft tissue filler; the demand for this polymer has increased, and along with it, there are some reports of adverse reactions. Such adverse reactions stem from consequences of immune and inflammatory reactions to PMMA. Some animal models have been used to unravel the causes of these reactions, among other factors involving the management of PMMA. The aim of this study was to determine the immunogenic profile of PMMA implantation in different anatomical planes of mice, over up to 360 experimental days. In this study, BALB/c mice were divided into 30 groups for immune evaluation of the interaction between the organism and the polymer; 2% PMMA was implanted subcutaneously, 10% intramuscularly and 30% in periosteal juxtaposition and followed during five experimental days (7, 30, 90, 180 and 360 days after implantation-DAI). Pro- and anti-inflammatory cytokines (IL-2, IL-4, IL-6, IFN-gamma, TNF, IL-17A, IL-10 and TGF-beta) were quantified in all experimental days. There was no statistical difference between the groups analyzed considering the evaluated parameters. Therefore, at all implanted depths, PMMA behaved inertly in a murine model.No Level Assigned This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Anália Cirqueira Milhomem
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Rodrigo Saar Gomes
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Fernanda Dias Tomé
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Felipe Dos Santos Arruda
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Pablo Igor Ribeiro Franco
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Eduardo Luiz da Costa
- Bioplastia Brasil, Rua T-55, nº 938, sala 1009; Edifício EBM Walk Bueno - Setor Bueno, Goiânia, Goiás, Brazil
| | - Jonathas Xavier Pereira
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Marina Clare Vinaud
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil
| | - Ruy de Souza Lino Júnior
- Department of Biosciences and Technology , Institute of Tropical Pathology and Public Health (IPTSP), Federal University of Goias (UFG), Rua 235, s/n.º - Setor Leste Universitário, Goiânia, Goiás, Brazil.
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Milhomem AC, de Souza Jorge IM, dos Santos Arruda F, Tomé FD, da Costa EL, Vinaud MC, Pereira JX, de Souza Lino Júnior R. Tissue Remodeling After Implantation with Polymethylmethacrylate: An Experimental Study in Mice. Aesthetic Plast Surg 2022; 47:1205-1216. [DOI: 10.1007/s00266-022-03179-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 11/06/2022] [Indexed: 11/26/2022]
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Milhomem AC, Jorge IMDS, da Costa EL, Vinaud MC, Lino Júnior RDS. Polymethyl Methacrylate (PMMA) in the Treatment of a Case of Hemifacial Microsomia. Aesthet Surg J Open Forum 2020; 2:ojaa002. [PMID: 33791622 PMCID: PMC7780458 DOI: 10.1093/asjof/ojaa002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2020] [Indexed: 11/12/2022] Open
Abstract
Hemifacial microsomia (HMF) is a morphological alteration characterized by facial deformities. These alterations are a consequence of a congenital anomalous development of the first and second branchial arches. It may present a genetic or environmental origin or a mixture of both and is considered mostly multifactorial. The clinical presentation varies; however, some characteristics are predominant such as unilateral mandible hypoplasia, agenesis or malformation of the auricular pavilion, and agenesis or malformation of the eye globe. The aim of this paper was to report a clinical case of a patient with late diagnosis of HMF which presented multiple deformities and received treatment with polymethyl methacrylate (PMMA) implant in different concentrations. Aiming for facial harmony, the PMMA implant occurred in the following regions: canine fossa, nasolabial sulcus, mandible, Bichat Ball, chin outline, lip contour, nose base, columella, nose tip, and dorsum. The treatment resulted in significant improvement in the facial symmetry. Level of Evidence: 5
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Affiliation(s)
| | | | | | - Marina Clare Vinaud
- Tropical Pathology and Public Health Institute, Federal University of Goias, Goiânia, GO, Brazil
| | - Ruy de Souza Lino Júnior
- Tropical Pathology and Public Health Institute, Federal University of Goias, Goiânia, GO, Brazil
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