背景:脂肪移植和重新定位可能是一种方便的,经济,矫正泪槽畸形或眼睑-脸颊交界处下眼睑袋的有效手术方法。然而,缺乏全面的系统评价和荟萃分析来调查与该技术相关的并发症.
目的:本研究旨在总结和收集与脂肪移植和重新定位相关的并发症数据,以矫正下眼睑眼睑成形术中的泪槽畸形或眼睑-脸颊交界处。
方法:在包括PubMed、科克伦,Embase,ProQuest,奥维德,Scopus,和WebofScience。应用特定的纳入和排除标准对文章进行筛选。使用随机效应模型分析并发症的发生。
结果:共33项研究,涉及4671名患者,符合系统评价标准,被纳入本荟萃分析。总并发症发生率为0.112(95%置信区间[CI]:0.060-0.177),0.062(95%CI:0.003-0.172)用于不令人满意的校正或轮廓不规则,血肿0.062(95%CI:0.009-0.151),肿胀(未指定为球结膜),瘀斑,或渗出血液,和0.024(95%CI:0.013-0.038)为再次手术。
结论:脂肪移植和重新定位用于矫正泪槽畸形或眼睑-脸颊交界处的下眼睑袋与高并发症发生率相关。因此,密切监测不满意的校正率或轮廓不规则率至关重要,血肿,肿胀(未指定为球结膜),瘀斑,或渗出血液,再操作。此外,应优先考虑与患者的有效沟通。
BACKGROUND: Fat grafting and repositioning may serve as a convenient, economical, and effective surgical method for correcting lower eyelid pouch with a tear trough deformity or lid-cheek junction. However, comprehensive systematic reviews and meta-analyses investigating the complications associated with this technique are lacking.
OBJECTIVE: This study aimed to summarize and gather data on complications related to fat grafting and repositioning for the correction of tear trough deformity or lid-cheek junction in lower eyelid blepharoplasty.
METHODS: A thorough search was performed across multiple databases including PubMed, Cochrane, Embase, ProQuest, Ovid, Scopus, and Web of Science. Specific inclusion and exclusion criteria were applied to screen the articles. The occurrence of complications was analyzed using a random-effects model.
RESULTS: A total of 33 studies involving 4671 patients met the criteria for systematic evaluation and were included in this meta-analysis. The overall complication rates were 0.112 (95% confidence interval [CI]: 0.060-0.177) for total complications, 0.062 (95% CI: 0.003-0.172) for unsatisfactory correction or contour irregularity, 0.062 (95% CI: 0.009-0.151) for hematoma, swelling (not specified as bulbar conjunctiva), ecchymosis, or oozing of blood, and 0.024 (95% CI: 0.013-0.038) for reoperation.
CONCLUSIONS: Fat grafting and repositioning for correcting a lower eyelid pouch with tear trough deformity or lid-cheek junction was associated with high rates of complications. Therefore, it is crucial to closely monitor the rates of unsatisfactory correction or contour irregularity, hematoma, swelling (not specified as bulbar conjunctiva), ecchymosis, or oozing of blood, and reoperation. In addition, effective communication with patients should be prioritized.