Yeslev Max, Gupta Varun, Winocour Julian, Shack R Bruce, Grotting James C, Higdon K Kye
Department of Plastic Surgery, The South Permanente Medical Group, Atlanta, GA.
Department of Plastic Surgery, Vanderbilt University, Vanderbilt, TN.
Aesthet Surg J. 2017 Oct 1;37(9):1051-1059. doi: 10.1093/asj/sjx061.
Limited surgical literature currently exists that evaluates postoperative complications after cosmetic surgery in adolescents.
The purpose of this study was to determine the incidence of major postoperative complications in adolescent patients undergoing cosmetic surgery and compare their complication rates to older patients.
A prospective cohort of patients undergoing cosmetic surgical procedures between 2008 and 2013 was identified from the CosmetAssure database. Demographics, clinical characteristics, surgical procedures, and major complications in adolescent patients (age 10-19 years) and older patients (≥20 years old) were compared. Risk factors analyzed included age, gender, body mass index, smoking, diabetes, type of surgical facility, procedure by body region, and combined procedures.
Overall, 3519 adolescents and 124,409 older patients underwent cosmetic surgical procedures. The adolescent cohort contained more men (20.0% vs 6.0%, P < 0.01), lower mean body mass index (22.6 ± 4.1 vs 24.4 ± 4.6, P < 0.01), lower prevalence of diabetes (0.8% vs 1.9%, P <0.01), and fewer smokers (5.9% vs 8.3%, P < 0.01) compared to the older patient cohort. Most commonly adolescent patients underwent breast followed by face and body procedures. Overall adolescent patients demonstrated a lower incidence of major postoperative complications compared to older patients after single (0.6% vs 1.5%, P < 0.01) and combined (1.2% vs 3%, P = 0.03) cosmetic procedures. Adolescent patients had lower complications rates after face, breast, and body procedures compared to the older cohort. The most common postoperative complications in adolescent patients were hematoma (0.34%) and infection (0.28%).
Cosmetic surgical procedures in adolescent patients are safe with a lower rate of major postoperative complications compared to older patients.
目前关于青少年美容手术后并发症评估的外科文献有限。
本研究旨在确定接受美容手术的青少年患者术后主要并发症的发生率，并将其并发症发生率与成年患者进行比较。
从CosmetAssure数据库中确定2008年至2013年间接受美容手术的前瞻性队列患者。比较青少年患者（10 - 19岁）和成年患者（≥20岁）的人口统计学、临床特征、手术方式和主要并发症。分析的风险因素包括年龄、性别、体重指数、吸烟、糖尿病、手术机构类型、按身体部位划分的手术方式以及联合手术。
总体而言，3519名青少年和124409名成年患者接受了美容手术。与成年患者队列相比，青少年队列中的男性更多（20.0%对6.0%，P < 0.01），平均体重指数更低（22.6±4.1对24.4±4.6，P < 0.01），糖尿病患病率更低（0.8%对1.9%，P < 0.01），吸烟者更少（5.9%对8.3%，P < 0.01）。青少年患者最常接受的手术是乳房手术，其次是面部和身体手术。总体而言，青少年患者在接受单次（0.6%对1.5%，P < 0.01）和联合（1.2%对3%，P = 0.03）美容手术后，主要术后并发症的发生率低于成年患者。与成年队列相比，青少年患者在面部、乳房和身体手术后的并发症发生率更低。青少年患者最常见的术后并发症是血肿（0.34%）和感染（0.28%）。
与成年患者相比，青少年患者的美容手术是安全的，术后主要并发症发生率较低。
2级
