Inside Aesthetics Ep 234 Disasters & Solutions (Chapter 3): Vascular Occlusion of the Tongue | Julie Bass Kaplan
Episode 234 hosts Julie Bass Kaplan (Nurse Practitioner based in California, USA)
This is the 3rd chapter in our mini-series called 'Disasters & Solutions'. Here we look at some of the unusual, difficult or outright disasterous outcomes for patients caused by injectables. We speak to the injectors who managed the case and go through what happened, step by step. We'll learn about what might have been done to prevent the problem and what injectors can do in their own practice to be safer practitioners.
In Chapter 3 we discuss a case concerning a patient who was treated with chin filler. They immediately developed a significant and rare vascular occlusion that affected one side of their tongue. We hear about what was done to salvage the situation and drill down into some fundamental learning points for all injectors.
00:00 Introduction 01:01 Disasters Series Returns 02:48 Case Background Chin Filler 06:04 Consent and Risk Talk 09:04 Technique and Ultrasound Error 18:47 Training Lessons on Ultrasound 20:45 Harlequin Tongue Recognition 23:06 Emergency Protocol and Drills 27:19 Patient Support and Timeline 32:07 Hyaluronidase Dosing and Stock 39:44 Adjuncts Hyperbaric and EO2 43:51 Next Steps Patient and Injector 44:49 Turning Complication Into Paper 46:38 Injector Growth And Confidence 48:20 Patient Care And Communication 58:01 Undiagnosed Occlusions Debate 62:29 Median Canal Anatomy Explained 66:22 Fishing For Red Technique 72:10 VO Mechanisms And Risk Factors 73:38 Emergency Kit And Training 76:37 Refunds Apologies And Support 80:05 Medicolegal Protocols And Notes 85:16 Wrap Up And Where To Learn