Ahmad Bogari, Naif Alshehri, Hamad F Alrabiah, Abdullah Binghaith, Khalid AlOsaimi, Lulu Aldhwaihy, Alaa Baghazal, Hassan Bogari, Mohammed Jomah
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5-Fluorouracil Applications in Facial Plastic Surgery: Indications, Clinical Outcomes, and Safety - A Systematic Review and Meta-Analysis.
Introduction 5-Fluorouracil (5-FU) is an adjunct therapeutic agent in facial plastic surgery, treating hypertrophic scars, keloids, granulomas, contractures, and thickened nasal skin. It reduces scars, enhances aesthetics, and improves function with a favorable safety profile. This systematic review evaluates the evidence for 5-FU use in facial aesthetics. Methods Comprehensive searches in MEDLINE, Cochrane, SCOPUS, EMBASE, PubMed, and Web of Science identified studies on 5-FU in facial aesthetics. Results From 4,772 articles, 32 studies (1,456 patients) met criteria. Indications included keloids, hypertrophic scars, and contractures (18 studies); periocular scars (6); granulomas (4); nasal skin thickening (1); infections (1); resistant warts (1); and hypochromic lesions (1). Most studies reported improvements in scar dimensions and erythema. Combination therapies and innovative delivery methods enhanced outcomes with minimal side effects. Conclusion Findings support 5-FU as a safe, minimally invasive therapy, achieving aesthetic and functional goals. However, standardized protocols and long-term studies are needed.
期刊介绍:
Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures.
Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.