An Assessment and Comparison of Adverse Effect Rates in Differing Absorbable Thread Lift Suture Materials.

IF 2.5 3区 医学 Q2 DERMATOLOGY
Avaneesh Sean Ojha, Navid Farahbakhsh, Sami K Saikaly
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引用次数: 0

Abstract

Background: Thread lifting, a minimally invasive alternative to facial rhytidectomy, has shifted from using nonabsorbable to absorbable sutures. Although many thread lift options exist, the impact of these different properties on complication rates remains unclear.

Objective: To systematically compare thread lift complication rates across different suture materials, textures, fixation methods, and lift locations.

Materials/methods: A systematic review was conducted through February 2024, following PRISMA guidelines, using multiple databases. The study focused on absorbable sutures, excluding nonabsorbable materials. Statistical analysis used Chi-Square tests with Bonferroni correction.

Results: Nineteen studies, encompassing 1,406 patients, met inclusion criteria. A total of 876 complications were reported. Ecchymosis (19.49%), swelling (16.79%), and tenderness (9.96%) were the most frequent complications, while hematoma (0.64%), paresthesia (1.14%), and infection (2.49%) were least frequent. Complications varied significantly among the studied factors. Swelling and ecchymosis were more associated with polycaprolactone sutures, barbed threads, and midface lifts. Barbed threads were associated with more complications than smooth or coned threads, as were floating threads compared with fixed threads.

Conclusion: Variations in thread lift suture materials and fixation technique were associated with different complication rates. Thread lifts using absorbable sutures exhibited complication rates under 5%, suggesting a generally favorable safety profile.

评估和比较不同可吸收线提升缝合材料的不良反应率。
背景:作为面部除皱术的微创替代方法,线提升术已从使用不可吸收缝合线转向可吸收缝合线。虽然有很多线提法可供选择,但这些不同特性对并发症发生率的影响仍不清楚:系统比较不同缝合材料、质地、固定方法和提升位置的线拉皮并发症发生率:根据 PRISMA 指南,使用多个数据库对截至 2024 年 2 月的研究进行了系统性回顾。研究重点是可吸收缝合线,不包括不可吸收材料。统计分析采用 Chi-Square 检验和 Bonferroni 校正:19项研究符合纳入标准,共涉及1406名患者。共报告了 876 例并发症。瘀斑(19.49%)、肿胀(16.79%)和压痛(9.96%)是最常见的并发症,而血肿(0.64%)、麻痹(1.14%)和感染(2.49%)是最少见的并发症。并发症在所研究的因素中差异很大。肿胀和瘀斑与聚己内酯缝合线、带刺线和中面部提升术的关系更大。与光滑线或锥形线相比,倒刺线的并发症更多,与固定线相比,浮动线的并发症也更多:结论:线拉提术缝合材料和固定技术的变化与不同的并发症发生率有关。使用可吸收缝线的线拉提术的并发症发生率低于 5%,表明其安全性总体良好。
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来源期刊
Dermatologic Surgery
Dermatologic Surgery 医学-皮肤病学
CiteScore
3.10
自引率
16.70%
发文量
547
期刊介绍: Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.
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