背景:对于寻求临时结果或不想手术的患者,使用填充剂注射的非手术隆鼻变得越来越流行。近年来,填充材料和手术技术有所改善,但严重的并发症依然存在。因此,这篇系统综述的目的是总结填料和注射技术的常见类型,并发症,和治疗,以帮助临床医生以更安全,更有效的方式进行。
方法:使用关键词和医学主题词搜索词进行系统评价。PubMed,Embase,并使用适当的搜索词搜索Cochrane图书馆。从每项研究中收集的数据包括注射材料,location,技术,患者满意度和并发症,和治疗。
结果:从1812项研究中确定,30人被纳入系统评价。共有9657例患者接受了非手术隆鼻手术,最常见的是透明质酸(HA)(96.76%),其次是钙羟基磷灰石(CaHA)(1.22%)。总体满意度为99.08%。并发症的总发生率为39.11%,红斑和肿胀发生率最高(27.95%)。大多数并发症都是轻微的,但仍有0.27%的患者经历了严重的并发症-动脉闭塞。
结论:非手术隆鼻是改善鼻子轮廓的有效且相对安全的选择,手术时间短,患者满意度高。大多数并发症是轻微的,但仍然有严重的血管并发症,如失明,皮肤坏死,和中风高达0.27%。彻底了解鼻血管的解剖结构和精确的手术技术是预防的重要依据。子弹点列表:(1)我们总结了常见的填料类型和注射技术,并发症,和并发症的治疗,以指导医生以更安全,更有效的方式进行非手术隆鼻。(2)在1812年通过搜索策略进行的研究中,系统评价30篇。共有9657例患者接受了非手术隆鼻手术。(3)非手术隆鼻是改善鼻子轮廓的有效且相对安全的选择,手术时间短,患者满意度高。(4)大部分并发症轻微,但是一些严重的并发症由于血管因素如失明,皮肤坏死,脑梗塞需要警惕。
方法: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.
BACKGROUND: For patients looking for temporary results or who do not want surgery, nonsurgical rhinoplasty using filler injections has become increasingly popular. Filler materials and surgical techniques have improved in recent years, but serious complications remain. Therefore, the aim of this systematic
review is to summarize the common types of fillers and
injection techniques, complications, and treatment to help clinicians perform in a safer and more effective way.
METHODS: A systematic
review was performed using keywords and Medical Subject Headings search terms. PubMed, Embase, and the Cochrane Library were searched using the appropriate search terms. Data collected from each study included
injection materials, location, technique, patient satisfaction and complications, and treatment.
RESULTS: From the 1812 studies identified, 30 were included in the systematic
review. A total of 9657 patients underwent nonsurgical rhinoplasty, most commonly with hyaluronic acid (HA) (96.76%), followed by calcium hydroxyapatite (CaHA) (1.22%). Overall satisfaction was 99.08%. The overall incidence of complications was 39.11%, with the highest incidence of erythema and swelling (27.95%). Most of the complications are mild, but there are still 0.27% of the patients who have undergone severe complication-an arterial occlusion.
CONCLUSIONS: Nonsurgical rhinoplasty is an effective and relatively safe option for improving the profile of the nose, with a short operative time and high patient satisfaction. Most of the complications were mild, but still serious vascular complications such as blindness, skin necrosis, and stroke were as high as 0.27%. A thorough understanding of the anatomy of the nasal vessels and a precise surgical technique is an important basis for prevention. A BULLET POINT LIST: (1) We summarize the common types of fillers and
injection techniques, complications, and treatment of complications to guide physicians to perform nonsurgical rhinoplasty in a safer and more effective manner. (2) Out of 1812 studies through the search strategy, 30 articles were included in the systematic review. A total of 9657 patients underwent nonsurgical rhinoplasty. (3) Nonsurgical rhinoplasty is an effective and relatively safe option to improve the profile of the nose, with a short surgical time and high patient satisfaction. (4) Most of the complications were mild, but some severe complications due to the vascular factors such as blindness, skin necrosis, and cerebral infarction need to be vigilant.
METHODS: 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 .