Thank you for your letter1 regarding our article entitled “Anatomical Variations in the Course of Labial Arteries: A Literature Review.”2 We thank the publisher for confirming how the error regarding Figure 1 was introduced and that they are correcting it. The objective of this article is to bring the following to the attention of practitioners: 1. The vasculature of the perioral region is highly variable, making this region a high-risk zone; 2. As such, every injection in this region carries risk of accidental vascular adverse events; 3. Knowledge of anatomy is essential but not a guarantee of prevention of accidental vascular adverse events; 4. Injection of dermal fillers in this area should be done with great caution; 5. Practitioners must be aware and equipped with knowledge, protocols, and relevant medications to recognize and deal with such adverse events promptly should they occur. We agree with Dr DeLorenzi3 that there are no “risk-free zones” and left this conclusion to be made by the readers demonstrating such high variability reported in the literature. We thank you for sharing your opinion regarding the 3-mm depth and the mean distance of 1 to 2 cm because this supports the conclusion of our review. We are glad that the paper by Sheuer et al4 also supports these conclusions. Such consensus makes available clinical evidence stronger and guides practitioners towards better patient care and a safer practice as intended.

Response to "Superior Labial Artery: Anatomical Considerations"

Bertossi, Dario
Writing – Review & Editing
2019-01-01

Abstract

Thank you for your letter1 regarding our article entitled “Anatomical Variations in the Course of Labial Arteries: A Literature Review.”2 We thank the publisher for confirming how the error regarding Figure 1 was introduced and that they are correcting it. The objective of this article is to bring the following to the attention of practitioners: 1. The vasculature of the perioral region is highly variable, making this region a high-risk zone; 2. As such, every injection in this region carries risk of accidental vascular adverse events; 3. Knowledge of anatomy is essential but not a guarantee of prevention of accidental vascular adverse events; 4. Injection of dermal fillers in this area should be done with great caution; 5. Practitioners must be aware and equipped with knowledge, protocols, and relevant medications to recognize and deal with such adverse events promptly should they occur. We agree with Dr DeLorenzi3 that there are no “risk-free zones” and left this conclusion to be made by the readers demonstrating such high variability reported in the literature. We thank you for sharing your opinion regarding the 3-mm depth and the mean distance of 1 to 2 cm because this supports the conclusion of our review. We are glad that the paper by Sheuer et al4 also supports these conclusions. Such consensus makes available clinical evidence stronger and guides practitioners towards better patient care and a safer practice as intended.
2019
Arteries; Lip
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1014635
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