评估儿童鼻手术的安全性和有效性:一项系统回顾和荟萃分析。

IF 1.4 4区 医学 Q3 SURGERY
Raina K Patel, Phillip Loan, Gabriela Cendejas, Maheen F Akhter, David Perrault, Rahim S Nazerali, Rohit K Khosla
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引用次数: 0

摘要

由于对青少年面部发育的担忧,儿童鼻手术一直存在争议。关于患者预后的数据有限,也没有明确的手术最佳年龄指南。目的评估儿童鼻手术的安全性、并发症和翻修率。根据系统评价和荟萃分析指南的首选报告项目,对1994年至2024年的鼻中隔成形术、鼻成形术和鼻中隔成形术研究进行系统评价和荟萃分析。纳入了0-18岁儿童原发性鼻中隔手术的研究。数据分析采用方差分析和卡方检验。纳入了23项研究,共27840例患者。鼻中隔成形术的手术年龄最高,并发症和翻修率低。鼻中隔成形术的手术年龄最小,并发症和翻修率高。鼻整形术并发症高,翻修率低。小儿鼻中隔成形术并发症和翻修率低。需要进一步的研究来确定每种手术的最佳年龄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the Safety and Efficacy of Pediatric Nasal Surgery: A Systematic Review and Meta-Analysis.

Pediatric nasal surgery has been controversial due to concerns about facial growth during adolescence. There is limited data on patient outcomes and no clear guidelines on the optimal age for surgery.To evaluate the safety, complication, and revision rates of nasal surgery in children.Systematic review and meta-analysis of septoplasty, rhinoplasty, and septorhinoplasty studies from 1994 to 2024, following Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines.Studies on primary nasal septal surgery in children (ages: 0-18) were included. Data was analyzed using ANOVA and chi-squared testing.Twenty-three studies with 27,840 patients were included. Septoplasty had the highest age at surgery and low complication and revision rates. Septorhinoplasty had the youngest age at surgery, and high complication and revision rates. Rhinoplasty had high complications but low revision rates.Pediatric septoplasty has low complication and revision rates. Further studies are needed to determine the optimal age for each procedure.

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来源期刊
Facial Plastic Surgery
Facial Plastic Surgery 医学-外科
CiteScore
1.80
自引率
10.00%
发文量
87
审稿时长
6-12 weeks
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.
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