面部假体植入失败:系统回顾和荟萃分析。

M Ureel, S Corthals, R Coopman, Hubert Vermeersch, N Brusselaers
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引用次数: 0

摘要

本系统综述的目的是评估颅面种植体在耳部、眶部和鼻腔区域的失败,包括放疗的影响和早期(1年)种植体失败的评估。我们检索了5个电子数据库中关于耳、鼻和/或眶假体植入失败研究的文章。遵循了PRISMA准则。纳入16项研究(1127例患者3630个种植体)。耳区种植体失败率为3.5%,眶区为18.7%,鼻区为8.8%。与耳区相比,眶区种植体(风险比为4.54)和鼻区种植体(风险比为3.00)的失败风险显著高于耳区。耳廓种植体(RR 2.17)和眶部种植体(RR 2.07)在辐照骨中失败的风险增加。关于早期失败(
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implant failure of facial prostheses: systematic review and meta-analysis.

The aim of this systematic review was to evaluate craniofacial implant failure in the auricular, orbital, and nasal regions, including the impact of radiotherapy and evaluation of early (<1 year) and late (>1 year) implant failure. Five electronic databases were searched for articles reporting studies on implant failure in auricular, nasal, and/or orbital prostheses. The PRISMA guidelines were followed. Sixteen studies (3630 implants in 1127 patients) were included. The pooled implant failure rate was 3.5% in the auricular region, 18.7% in the orbital region, and 8.8% in the nasal region. Compared to the auricular region, implants inserted in the orbital (risk ratio (RR) 4.54) and nasal (RR 3.00) regions had a significantly higher risk of failure. Auricular (RR 2.17) and orbital (RR 2.07) implants had an increased risk of failure in irradiated bone. Regarding early failure (<1 year), 79.8% of nasal implants that failed were found to fail early, compared to 21.4% and 35.4% of failed auricular and orbital implants, respectively. This meta-analysis is novel in studying the timing of implant failure. Future studies should cover long observation periods and adequately report failure rates. There is a lack of high-quality studies and well-defined standardized outcome parameters. Results should be interpreted with caution due to low levels of evidence. DATA AVAILABILITY: This review has been registered with the Open Science Framework (doi:10.17605/OSF.IO/EBUC4). The study protocol and data files are publicly accessible.

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