最近微创面部美学程序的普及增加导致患者对嘴唇年轻化的整体兴趣增加。文献中描述了用于手术上唇增强的多种技术和修改,但没有一种方法被认为是最佳的。这篇文献综述的目的是对处理手术上唇增强的研究进行全面分析,并评估其短期和长期结果,以及并发症的概况。
对截至2019年7月的已发表文献进行了全面审查。在PUBMED和Cochrane数据库中搜索了有关上唇美学手术增强的所有英语文章。仅包括涉及上唇亚基美学方面的文章。术前评估,对患者选择和技术执行情况进行了评估.提取所有术后并发症和结果的数据。
总的来说,对52篇文章进行了筛选,其中17人符合纳入标准。在这些研究中接受治疗的患者总数为2265。平均随访30个月。研究中最常用的手术方法是鼻下唇提升(93.6%)。71.7%的病例采用牛角切除模式进行鼻下唇提升,18.1%的患者采用波状椭圆切除术。49例患者(2.2%)的首选技术是通过Vermillion边界切除方式进行嘴唇前移。在所有患者中,最常见的并发症是非美观的结果或不良疤痕,平均发生率为7.23%。总的来说,研究报告说,手术增强后上唇的美学外观有所改善,以及很少但有希望的高患者满意度的报告。关于并发症概况的高质量数据相对缺乏,患者选择,适应症和禁忌症。
这篇综述概述了用于上唇增强的几种技术和修改。它强调了关于其应用和优化患者选择的高质量数据的缺乏。有希望的满意率和相对较低的并发症发生率表明,手术唇膏成形术在面部年轻化中的作用更加突出。
本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
The recent rise in popularity of minimally invasive facial aesthetic procedures has resulted in the overall heightened patient interest in lip rejuvenation. There is a variety of techniques and modifications for surgical upper lip enhancement described in the literature but no single method is considered optimal. The aim of this literature
review is to provide a comprehensive analysis of the studies dealing with surgical upper lip enhancement and evaluate their short- and long-term outcomes, as well as complication profiles.
A comprehensive
review of the published literature through July of 2019 was performed. The PUBMED and Cochrane databases were searched for all English language articles on aesthetic surgical enhancement of the upper lip. Only articles dealing with the aesthetic aspect of the upper lip subunit were included. Preoperative assessment, patient selection and technique execution were assessed. Data were abstracted on all postoperative complications and outcomes.
Overall, 52 articles were screened for inclusion, of which 17 met the inclusion criteria. The total number of patients treated in these studies was 2265. The average follow-up period was 30 months. The most commonly used surgical method across the studies was the subnasal lip lift (93.6%). The bull\'s horn excision pattern was utilized to perform the subnasal lip lift in 71.7% of the cases, and the wavy ellipse excision was used in 18.1% of patients. Lip advancement by vermillion border excision pattern was the technique of choice for 49 patients (2.2%). Across all patients the most common complication was a non-aesthetically appealing result or adverse scarring with a mean incidence of 7.23%. Overall, the studies reported improvement in the aesthetic appearance of the upper lip after surgical enhancement, along with few but promising reports of high patient satisfaction. There is a relative paucity of high-quality data regarding complication profiles, patient selection, indications and contraindications.
This
review provides an overview of several techniques and modifications for upper lip enhancement. It highlights the paucity of high-quality data on their application and optimizing patient selection. Promising satisfaction rates and relatively low complication rates suggest a more prominent role for surgical cheiloplasty in facial rejuvenation.
This journal requires that authors assign a level of evidence to each article. 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 .