key: cord-0071776-c301ffve authors: Al-Najjar, A. title: Further filler complication date: 2021-12-17 journal: Br Dent J DOI: 10.1038/s41415-021-3785-2 sha: aadc5f56f4828ef03b51fd2162d53ccfdb7a285b doc_id: 71776 cord_uid: c301ffve nan https://doi.org/10.1038/s41415-021-3784-3 of collection and cavity formation under pressure, skin thinning and even necrosis of the skin. These were complications witnessed in a patient of ours last year during the COVID-19 pandemic. This prompted extensive investigation for any underlying immunosuppression; eg diabetes, blood-borne virus, use of steroids, COVID-19 testing, culture of organisms drained and a referral for consideration regarding excision/ reconstruction of the affected area which was at least 4 cm in diameter involving the left external cheek. Fortunately, this was not a through and through defect into the oral cavity. This complication has been reported previously and has been subject to a literature review. 2 We hope this experience further alerts colleagues within maxillofacial units to the potential complications associated with dermal fillers. A. Al-Najjar, Manchester, UK Sir, we read with interest the recent letter regarding dermal filler complications presenting to emergency departments. 1 Another filler complication, as a consequence of infection/abscess formation subsequent to filler injections and a postinjection inflammatory response, is that Management of oro-antral communication and fistula: various surgical options Coronavirus and clinical negligence The original article can be found online at https://doi.org/10.1038/ s41415-021-3682-8.Journal's correction note: Letter Br Dent J 2021; 231: 601.When this letter was originally published, the author was incorrectly referred to as A. Sahni. The correct author name is V. Sahni.The journal apologises for any inconvenience caused. UPFrONT