Abdulaziz Saud AlEnazi, Noura Farhan Alanazi, Abdullah BinGhaith, Ibrahim Nasser Al Sulaiman, Abdulmjeed Alnosair
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引用次数: 0
摘要
背景：鼻中隔延伸移植物（SEGs）通过增强鼻尖的突出、稳定性和旋转在鼻整形术中起着至关重要的作用。尽管它们被广泛使用，但没有全面系统的评价它们的总体有效性和相关并发症。本研究旨在评估SEGs对鼻整形患者鼻尖稳定性、旋转和突出的影响。方法：系统检索PubMed、MEDLINE、OpenAIRE、Scopus和施普林格Nature期刊等检索数据库，检索报告术前和术后鼻尖测量的研究。纳入标准包括关于尖端旋转和突出、尖端稳定性和并发症的定量数据的研究。结果：纳入8项研究（n = 584例患者）。meta分析显示术后鼻尖旋转（SMCR = 0.76, 95% CI 0.37 ~ 1.15, p = 0.0002）和突出（SMCR = 0.99, 95% CI 0.5 ~ 1.47, p < 0.001%）显著增加。总并发症发生率低至5% （95% CI 1% ~ 23%）。敏感性分析证实了研究结果的稳健性。结论：SEGs可显著提高鼻尖旋转、突出和稳定性，并发症发生率低。这些发现支持SEGs作为一种有效的鼻整形技术的使用。然而，需要进一步的前瞻性研究和标准化的结果测量来优化手术入路。证据等级iii：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。
Evaluating the Role of Septal Extension Grafts in Enhancing Nasal Tip Projection and Support: A Systematic Review and Meta-Analysis.
Background: Septal extension grafts (SEGs) play a critical role in rhinoplasty by enhancing nasal tip projection, stability, and rotation. Despite their widespread use, no comprehensive systematic review has evaluated their overall effectiveness and associated complications. This study aims to assess the effect of SEGs on nasal tip stability, rotation, and projection in patients undergoing rhinoplasty.
Methods: A systematic review of search databases including PubMed, MEDLINE, OpenAIRE, Scopus, and Springer Nature Journals was searched for studies reporting preoperative and postoperative nasal tip measurements. Inclusion criteria included studies with quantitative data on tip rotation and projection, tip stability, and complications.
Results: Eight studies (n = 584 patients) were included. Meta-analysis showed a significant increase in postoperative nasal tip rotation (SMCR = 0.76, 95% CI 0.37 to 1.15, p = 0.0002) and projection (SMCR = 0.99, 95% CI 0.5 to 1.47, p < 0.001%). The overall complication rate was low 5% (95% CI 1% to 23%). Sensitivity analysis confirmed the robustness of the findings.
Conclusion: SEGs significantly enhance nasal tip rotation, projection, and stability with a low complication rate. These findings support the use of SEGs as an effective rhinoplasty technique. However, further prospective studies with standardized outcome measures are required to optimize surgical approaches.
Level of evidence iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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