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Use of Minimal Amounts of Hyaluronidase in the Ultrasound-Guided Treatment of Acute Vascular Occlusion by Hyaluronic Acid: A Preliminary Report 在透明质酸急性血管闭塞的超声引导治疗中使用微量透明质酸酶:初步报告
Aesthetic Surgery Journal Open Forum Pub Date : 2024-04-23 DOI: 10.1093/asjof/ojae025
Urso Simone Ugo, Molinari Paola, Fundarò Salvatore, Mosti Giovanni
{"title":"Use of Minimal Amounts of Hyaluronidase in the Ultrasound-Guided Treatment of Acute Vascular Occlusion by Hyaluronic Acid: A Preliminary Report","authors":"Urso Simone Ugo, Molinari Paola, Fundarò Salvatore, Mosti Giovanni","doi":"10.1093/asjof/ojae025","DOIUrl":"https://doi.org/10.1093/asjof/ojae025","url":null,"abstract":"\u0000 \u0000 \u0000 Complications from hyaluronic acid fillers are increasingly frequent, given the very high number of treatments performed every day worldwide. They are routinely treated with high doses of hyaluronidase, which can cause significant local and general unwanted effects.\u0000 \u0000 \u0000 \u0000 aim of our work is to demonstrate that when the origin of the complication is precisely identified and treated under ultrasound guidance, few hyaluronidase units are enough to treat it effectively.\u0000 \u0000 \u0000 \u0000 Five young female patients came to our observation for vascular lesions from injection of HA fillers performed in the immediately preceding days, in 4 cases, and a few weeks earlier in the fifth case. All lesions were accurately identified by ultrasound and treated with hyaluronidase.\u0000 \u0000 \u0000 \u0000 the four promptly treated patients, fully recovered with a hyaluronidase dose of 87 ± 44 IU (range 30-150 IU). The fifth patient, treated later, markedly improved regarding clinical picture and symptoms. No early or late side effects have been reported from this hyaluronidase dosage.\u0000 \u0000 \u0000 \u0000 Our data confirm that if the lesion at the origin of the skin damage is precisely localized with ultrasound examination and treated under ultrasound guidance, a few units of hyaluronidase, injected directly into the hyaluronic acid accumulation, effectively resolve the skin damage. At the doses we used, which were much lower than those usually recommended, hyaluronidase proved to be not only effective but also free of any side effects.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"26 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Treatment of Cosmetic Lower Eyelid Adverse Events After Injection of Hyaluronic Acid Gel Fillers 注射透明质酸凝胶填充剂后下眼睑美容不良事件的处理方法
Aesthetic Surgery Journal Open Forum Pub Date : 2024-04-23 DOI: 10.1093/asjof/ojae026
S. Fagien
{"title":"The Treatment of Cosmetic Lower Eyelid Adverse Events After Injection of Hyaluronic Acid Gel Fillers","authors":"S. Fagien","doi":"10.1093/asjof/ojae026","DOIUrl":"https://doi.org/10.1093/asjof/ojae026","url":null,"abstract":"\u0000 \u0000 \u0000 Non-surgical “blepharoplasty” and has been considered as an un-met need particularly for the large potential population of patients that are not interested or ready for surgery and is generally performed by all providers who offer injectable agents in their practice. While favorable outcomes can be achieved in most areas of the face, the lower eyelid has shown to be less forgiving and a source of overwhelming unsatisfactory outcomes. While providers often disclose to their patients that undesirable cosmetic adverse events can reversed with the injection of hyaluronidase, a larger experience has suggested that this application is not always successful.\u0000 \u0000 \u0000 \u0000 The author describes an algorithm for resolution of refractory adverse events using a combination of intra-operative, high-dose, hyaluronidase combined with lower blepharoplasty.\u0000 \u0000 \u0000 \u0000 From June 2016 to present, 70 consecutive patients, 65 females and 5 males, with ages ranging from 31 to 76 years presented with unsatisfactory results after injection of a hyaluronic acid product performed elsewhere where treated with lower blepharoplasty in conjunction with intra-operative “high-dose” trans-conjunctival hyaluronidase injections.\u0000 \u0000 \u0000 \u0000 All patients showed significant but varied improvement after this treatment when, in most situations, in-office, per-cutaneous injection of hyaluronidase was insufficient\u0000 \u0000 \u0000 \u0000 The combination of intra-operative injection of high-dose hyaluronidase and (upper and/or) lower blepharoplasty can lead to satisfactory outcomes in patients with chronic lower eyelid edema after hyaluronic acid gel injections to the lower eyelid that have been refractory to other treatments.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"14 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140667803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Achieving Durable Forehead Line Outcomes With DaxibotulinumtoxinA: Early Experience in Real-World Clinical Practice 使用达希布妥毒素(DaxibotulinumtoxinA)实现持久额线效果:真实世界临床实践的早期经验
Aesthetic Surgery Journal Open Forum Pub Date : 2024-04-16 DOI: 10.1093/asjof/ojae023
Michael Lafkas
{"title":"Achieving Durable Forehead Line Outcomes With DaxibotulinumtoxinA: Early Experience in Real-World Clinical Practice","authors":"Michael Lafkas","doi":"10.1093/asjof/ojae023","DOIUrl":"https://doi.org/10.1093/asjof/ojae023","url":null,"abstract":"\u0000 \u0000 \u0000 Irrespective of botulinum toxin type A (BoNTA) product used, differences in duration between the frontalis and glabella can be a challenge. Since the approval of daxibotulinumtoxinA for injection (DAXI [DAXXIFY™; Revance Nashville, TN]), injectors have been eager to not only reproduce the durable results observed in the glabella but also to achieve an extended duration in the frontalis.\u0000 \u0000 \u0000 \u0000 To describe how the author has successfully modified their injection technique to achieve extended DAXI duration in the frontalis.\u0000 \u0000 \u0000 \u0000 Here, the author presents an approach to obtaining longevity in the forehead with DAXI based on clinical experience performing more than 400 treatments on more than 250 patients with DAXI since product approval.\u0000 \u0000 \u0000 \u0000 DAXI has a limited diffusion profile. If patients are not injected in the mid to low frontalis directly, compensatory motion of the lower frontalis leads to premature return of movement, which can result in suboptimal DAXI injection and shortened patient-reported duration. With previous generations of BoNTA products, some degree of migration from the upper frontalis injection sites and/or the glabella injection sites into the mid and low frontalis is sufficient to prevent this effect, but the precision of DAXI demands that these fibers be more deliberately addressed with a larger number of individual injections.\u0000 \u0000 \u0000 \u0000 Through the use of more injection points, a wider area of treatment, and customization to fit patient needs, duration similar to that observed in clinical studies (20.9 weeks) can be achieved using between 20 and 33% fewer units of DAXI.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"4 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Reverse Dual-Plane: A Novel Technique for Endoscopic Transaxillary Breast Augmentation 反向双平面:内窥镜经腋窝隆胸的新技术
Aesthetic Surgery Journal Open Forum Pub Date : 2024-04-05 DOI: 10.1093/asjof/ojae020
Zumeng Ya, Lin Xiao, Luheng Zhou
{"title":"The Reverse Dual-Plane: A Novel Technique for Endoscopic Transaxillary Breast Augmentation","authors":"Zumeng Ya, Lin Xiao, Luheng Zhou","doi":"10.1093/asjof/ojae020","DOIUrl":"https://doi.org/10.1093/asjof/ojae020","url":null,"abstract":"\u0000 \u0000 \u0000 Quite a few Asian patients prefer axillary incision for breast augmentation. However, this surgery needs to improve.\u0000 \u0000 \u0000 \u0000 To introduce a reverse dual-plane technique through a transaxillary approach and compare it to a transaxillary dual-plane approach.\u0000 \u0000 \u0000 \u0000 Eighty-two patients were divided into group A (n = 40) and group B (n = 42). Axillary incision and endoscope were utilized in the two groups. Tebbetts’ dual-plane was performed in group A. Patients in group B underwent our reverse dual-plane technique, in which the upper 70% was subfascial and the lower 30% was subpectoral, with the fascia of the external oblique and anterior serratus being elevated together with the pectoral muscle. The Numeric Pain Rating Scale (NPRS) scores were recorded daily for 7 days. Breast shape and softness, in both sitting and supine positions, were assessed by the patients, and complications were compared.\u0000 \u0000 \u0000 \u0000 The NPRS scores of group B were significantly lower than group A (P < .01). The satisfaction rate of shape and softness in the seated position was not significantly different (P > .05). However, in the supine position, only 20 patients (50.0%) in group A and 32 patients (76.2%) in group B were satisfied with their breast softness (P < .01), the others breasts became stiffer. Breast animation deformity (BAD) occurred in 2 cases in group A and none in group B (P < .01). Other complications were not significantly different.\u0000 \u0000 \u0000 \u0000 Compared to Tebbetts’ dual-plane, this procedure significantly reduced pain, improved breast softness, and eliminated BAD, without increasing complications.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A 16-Year Analysis of Aesthetic Surgery Volume and its Association With U.S. Economic Performance 16 年美容手术量及其与美国经济表现的关系分析
Aesthetic Surgery Journal Open Forum Pub Date : 2024-03-27 DOI: 10.1093/asjof/ojae019
Caroline C. Bay, Peter J. Wirth, E. Shaffrey, Sarah M Thornton, Venkat K. Rao
{"title":"A 16-Year Analysis of Aesthetic Surgery Volume and its Association With U.S. Economic Performance","authors":"Caroline C. Bay, Peter J. Wirth, E. Shaffrey, Sarah M Thornton, Venkat K. Rao","doi":"10.1093/asjof/ojae019","DOIUrl":"https://doi.org/10.1093/asjof/ojae019","url":null,"abstract":"\u0000 \u0000 \u0000 Historically, demand for plastic surgery has been associated with the performance of the United States (U.S.) economy.\u0000 \u0000 \u0000 \u0000 This study evaluates the relationship between economic performance indicators and the popularity and profitability of aesthetic surgery from 2006 to 2022 considering several recessions and the rise of social media.\u0000 \u0000 \u0000 \u0000 Data was collected from the Aesthetic Society's (AS) Aesthetic Plastic Surgery National Databank and the American Society of Plastic Surgeons’ (ASPS) Plastic Surgery Statistics Report from 2006 to 2022. Procedures analyzed included the most performed cosmetic surgeries, as well as neuromodulator injections and dermal fillers. Pearson correlation tests were used to analyze the strength of association between eight financial indicators and case volumes and expenditures for each procedure.\u0000 \u0000 \u0000 \u0000 From 2006 to 2020, ASPS data demonstrated gross domestic product (GDP) per capita year-over-year (YOY) change that was positively correlated with case volume and expenditures across 13 out of the 24 different procedure metrics (54.2%). From 2006 to 2016, AS data was positively correlated with the YOY change of the NASDAQ, S&P500, and Dow Jones in 12 of the 24 variables (50%). This was followed by GDP YOY change, with positive correlations to 11 variables (45.8%). YOY change of consumer-level finances and inflation indicators were less frequently associated amongst both data sets.\u0000 \u0000 \u0000 \u0000 Our study shows that aesthetic plastic surgery procedures and expenditures correlate with GDP. While aesthetic surgery demand may be difficult to anticipate, this study elucidates several factors plastic surgeons may use as a bellwether for their practices.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"3 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Treatment of Non-Inflammatory CaHA Nodules Using Focused Mechanical Vibration 利用聚焦机械振动成功治疗非炎症性 CaHA 结节
Aesthetic Surgery Journal Open Forum Pub Date : 2024-03-21 DOI: 10.1093/asjof/ojae018
Alec D McCarthy, Shoham Berkowitz, W. G. Chernoff
{"title":"Successful Treatment of Non-Inflammatory CaHA Nodules Using Focused Mechanical Vibration","authors":"Alec D McCarthy, Shoham Berkowitz, W. G. Chernoff","doi":"10.1093/asjof/ojae018","DOIUrl":"https://doi.org/10.1093/asjof/ojae018","url":null,"abstract":"\u0000 Non-inflammatory nodules arising from injection of biostimulatory fillers persist as an unwanted complication. Pathologically, non-inflammatory nodules may arise from superficial injection, accidental boluses, or incorrect concentration of microparticles contained within the filler. This case report introduces a method for reversing calcium hydroxylapatite (CaHA) using focused mechanical vibration. An in situ hyperdilution was created by injecting saline into the nodule core to prepare it for resuspension. Topical microneedling was subsequently applied to generate vibrations, aiming to disperse the accumulated calcium hydroxylapatite particles. The outcome demonstrated a significant reduction in the size and visibility of the nodule. This combined saline-microneedling approach offers a potential non-invasive, non-pharmacologic solution for managing superficial CaHA nodules.","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":" 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140221266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Innovative and Evolving Landscape of Topical Exosome and Peptide Therapies: A Systematic Review of the Available Literature 局部外泌体和多肽疗法的创新与演变:现有文献的系统回顾
Aesthetic Surgery Journal Open Forum Pub Date : 2024-03-19 DOI: 10.1093/asjof/ojae017
Makenna E. Ash, Meira Zibitt, O. Shauly, Ambika Menon, Albert Losken, Daniel J Gould
{"title":"The Innovative and Evolving Landscape of Topical Exosome and Peptide Therapies: A Systematic Review of the Available Literature","authors":"Makenna E. Ash, Meira Zibitt, O. Shauly, Ambika Menon, Albert Losken, Daniel J Gould","doi":"10.1093/asjof/ojae017","DOIUrl":"https://doi.org/10.1093/asjof/ojae017","url":null,"abstract":"\u0000 \u0000 \u0000 Topical anti-aging therapies provide non-invasive delivery of active therapeutics. Exosomes, or extracellular nanovesicles, and peptides, small strings of amino acids, have shown promise as topical therapies in early trials, but neither is FDA approved.\u0000 \u0000 \u0000 \u0000 This review aims to elucidate the current and future landscape of topical exosomes and peptides as a therapeutic for skin rejuvenation.\u0000 \u0000 \u0000 \u0000 A literature search was conducted using the keywords “peptides” OR “exosomes” AND “skin” OR “rejuvenation”. Primary endpoints included mechanisms of action in humans or live animals as well as clinical data supporting the use of exosomes or peptides topically for skin rejuvenation or wound healing. Secondary endpoints were safety, side effects, and efficacy. The articles were collected, organized, and sorted using the Covidence software for systematic review.\u0000 \u0000 \u0000 \u0000 Nine articles evaluating topical application of exosomes and nine of peptides met inclusion criteria. Topical exosomes were found to increase collagen deposition, accelerated wound healing, and overall cosmesis improvement. Several clinical trials are currently underway. Topical peptides were found to improve appearance of fine lines and wrinkles, elasticity and viscoelasticity, skin texture, skin thickness, and potential for accelerated wound healing. Peptides are quite common in “cosmeceutical” products, and several patents have been filed for topical peptide products aimed at increasing skin rejuvenation. This could indicate movement towards pursuing FDA approval.\u0000 \u0000 \u0000 \u0000 The future of topical exosome and peptide products for the purpose of skin rejuvenation appears promising. Preliminary data from the studies reviewed here indicates that these products have the potential to be safe and effective.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"52 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140230408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decreasing Seroma Incidence Following Abdominoplasty: A Systematic Review and Meta-Analysis of High-Quality Evidence 降低腹部整形术后血清肿发生率:高质量证据的系统回顾和荟萃分析
Aesthetic Surgery Journal Open Forum Pub Date : 2024-03-16 DOI: 10.1093/asjof/ojae016
C. D. Liao, Kelley Zhao, Nia Nikkhahmanesh, D. T. Bui
{"title":"Decreasing Seroma Incidence Following Abdominoplasty: A Systematic Review and Meta-Analysis of High-Quality Evidence","authors":"C. D. Liao, Kelley Zhao, Nia Nikkhahmanesh, D. T. Bui","doi":"10.1093/asjof/ojae016","DOIUrl":"https://doi.org/10.1093/asjof/ojae016","url":null,"abstract":"\u0000 \u0000 \u0000 Seroma formation is the most common complication of abdominoplasties. Many preventive interventions have been proposed, but none have been recognized as a definitive solution, partly due to varying levels of evidence (LOE) in the literature.\u0000 \u0000 \u0000 \u0000 We aimed to analyze seroma prevention methods supported by high-level evidence.\u0000 \u0000 \u0000 \u0000 The PubMed® database was queried through August 2023. Primary articles of interest included randomized controlled trials (RCTs), prospective comparative studies, and meta-analyses of these studies. The LOE for each article was determined according to the ASPS Rating Scale. The “seroma occurrence ratio,” or ratio of seroma events in the interventional to respective control group, was calculated to compare incidence rates between techniques.\u0000 \u0000 \u0000 \u0000 Twenty articles and 9 categories of techniques were analyzed. Study designs included 10 RCTs, 2 prospective cohort studies, 7 prospective comparative studies, and 1 retrospective randomized study. The use of progressive-tension and quilting sutures had the most data supporting a statistically significant reduction in seroma (occurrence ratio 0.306, p < 0.001). Tissue adhesives and preservation of Scarpa’s fascia were also well reinforced (0.375, p < 0.01 and 0.229, p < 0.011, respectively), while increasing the number of drains was not (p = 0.7576). Meta-analysis demonstrated that compared to two drains alone, alternative techniques were more effective at reducing seroma occurrence (pooled risk ratio 0.33, 95% CI = [0.11, 0.99]).\u0000 \u0000 \u0000 \u0000 This review highlights multiple seroma prevention techniques for abdominoplasty investigated in recent high-quality literature. We suggest future randomized comparative studies of the various seroma prevention methods to fully ascertain their efficacy following abdominoplasty.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"57 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review 高风险医疗器械登记中的患者报告结果测量:范围审查
Aesthetic Surgery Journal Open Forum Pub Date : 2024-03-16 DOI: 10.1093/asjof/ojae015
Michelle Merenda, Arul Earnest, R. Ruseckaite, Wai Chung Tse, Elisabeth Elder, Ingrid Hopper, S. Ahern
{"title":"Patient Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review","authors":"Michelle Merenda, Arul Earnest, R. Ruseckaite, Wai Chung Tse, Elisabeth Elder, Ingrid Hopper, S. Ahern","doi":"10.1093/asjof/ojae015","DOIUrl":"https://doi.org/10.1093/asjof/ojae015","url":null,"abstract":"\u0000 Little is known about the methods and outcomes of Patient Reported Outcome Measures (PROMs) use among high-risk medical device registries. The objective of this scoping review was to assess the utility and predictive ability of PROMs in high-risk medical device registries. We searched Ovid MEDLINE, Embase, APA PsychINFO, Cochrane Library and Scopus databases for published literature. After searching, 4323 titles and abstracts were screened and 262 full text were assessed for their eligibility. Seventy-six papers from across orthopaedic (n = 64), cardiac (n = 10), penile (n = 1) and hernia mesh (n = 1) device registries were identified. Studies predominantly used PROMs as an outcome measure when comparing cohorts or surgical approaches (n = 45), or to compare timepoints (n = 13) including pre and post-intervention. Fifteen papers considered the predictive ability of PROMs. Of these, 8 treated PROMs as an outcome, 5 treated PROMs as a risk factor through regression analysis, and 2 papers treated PROMs as both a risk factor and as an outcome. One paper described PROMs to study implant survival. To advance methods of PROM integration into clinical decision-making for medical devices, an understanding of their use in high-risk device registries is needed. This scoping review found there is a paucity of studies using PROMs to predict long-term patient and clinical outcomes in high-risk medical device registries. Determination as to why PROMs are rarely used for predictive purposes in long-term data collection is needed if PROMs data are to be considered suitable as real-world evidence for high-risk device regulatory purposes, as well as to support clinical decision-making.","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"82 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simple Incisionless Temporary Stabilization (SITS): An Adjunct to Lower Blepharoplasty 简单无切口临时稳定术(SITS):下眼睑成形术的辅助手段
Aesthetic Surgery Journal Open Forum Pub Date : 2024-03-13 DOI: 10.1093/asjof/ojae014
Sara N. Reggie, Tiffany C Ho, Adam G Buchanan, J. Holds
{"title":"Simple Incisionless Temporary Stabilization (SITS): An Adjunct to Lower Blepharoplasty","authors":"Sara N. Reggie, Tiffany C Ho, Adam G Buchanan, J. Holds","doi":"10.1093/asjof/ojae014","DOIUrl":"https://doi.org/10.1093/asjof/ojae014","url":null,"abstract":"\u0000 \u0000 \u0000 Lateral canthal tightening is indicated for patients undergoing lower eyelid blepharoplasty who have pre-existing lower eyelid laxity or ectropion. A canthoplasty or canthopexy is indicated at the time of lower blepharoplasty to avoid post-operative complications, such as eyelid retraction or ectropion. Various surgical techniques are described to accomplish this goal, including canthopexy procedures which usually access the lateral canthal tendon through an upper eyelid blepharoplasty or lateral canthal incision.\u0000 \u0000 \u0000 \u0000 To describe an incisionless technique adjunctive to lower blepharoplasty which stabilizes the lower eyelid in the week following blepharoplasty.\u0000 \u0000 \u0000 \u0000 This operative technique description and retrospective case series includes 15 patients who underwent a simple incisionless temporary stabilization (SITS) during lower eyelid blepharoplasty. The procedures were performed at the same outpatient office-based surgery center and were performed by the author surgeons. Patients were followed from 3 to 6 months post-operatively.\u0000 \u0000 \u0000 \u0000 The SITS procedure during lower eyelid blepharoplasty successfully maintained a desirable functional and aesthetic eyelid position with minimal complications. One patient reported tearing post-operatively which was determined to be unrelated to the SITS and resolved by the one-month follow-up visit. No patient had any other complications during the follow-up period.\u0000 \u0000 \u0000 \u0000 The SITS procedure was successfully utilized in patients with mild to moderate lower eyelid laxity and/or a negative vector to prevent post-operative ectropion and eyelid retraction. It is a more favorable alternative to temporary tarsorrhaphy, as it does not obstruct vision during healing and better secures the eyelid. It should not be used in patients with significant lower eyelid laxity that would place the patient at significant risk of ectropion and lower eyelid retraction related to swelling and inappropriate eyelid position during the early post-operative course.\u0000","PeriodicalId":512050,"journal":{"name":"Aesthetic Surgery Journal Open Forum","volume":"539 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140247093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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