Tavares Joana de Pinho, Oliveira Carlos Augusto Costa Pires, Torres Rodolfo Prado, Bahmad Fayez
Universidade de Brasília, Programa de Pós-Graduação em Ciências da Saúde e Departamento de Otorrinolaringologia, Brasília, DF, Brazil.
Universidade de Brasília, Escola de Medicina, Brasília, DF, Brazil.
Braz J Otorhinolaryngol. 2017 Nov-Dec;83(6):712-719. doi: 10.1016/j.bjorl.2017.03.015. Epub 2017 May 9.
The increased interest in minimally-invasive treatments, such as the thread lifting, with lower risk of complications, minimum length of time away from work and effectiveness in correcting ptosis and aging characteristics has led many specialists to adopt this technique, but many doubts about its safety and effectiveness still limit its overall use.
To analyze data published in the literature on the durability of results, their effectiveness, safety, and risk of serious adverse events associated with procedures using several types of threading sutures.
Literature review using the key words "thread lift", "barbed suture", "suture suspension" and "APTOS". Due to the scarcity of literature, recent reports of facial lifting using threads were also selected, complemented with bibliographical references.
The first outcomes of facial lifting with barbed sutures remain inconclusive. Adverse events may occur, although they are mostly minor, self-limiting, and short-lived. The data on the maximum effect of the correction, the durability of results, and the consequences of the long-term suture stay are yet to be clarified.
Interest in thread lifting is currently high, but this review suggests that it should not yet be adopted as an alternative to rhytidectomy.
对微创治疗(如线雕)的兴趣日益增加,其并发症风险较低、误工时间最短且在矫正上睑下垂和衰老特征方面有效,这使得许多专家采用了该技术,但对其安全性和有效性的诸多疑虑仍限制了其整体应用。
分析文献中发表的关于使用几种类型的带线缝合线进行手术的效果持久性、有效性、安全性以及严重不良事件风险的数据。
使用关键词“线雕”“倒刺缝线”“缝线悬吊”和“APTOS”进行文献综述。由于文献稀缺,还选取了近期使用线进行面部提升的报道,并辅以参考文献。
使用倒刺缝线进行面部提升的首批结果尚无定论。可能会发生不良事件,尽管大多轻微、自限且持续时间短。关于矫正的最大效果、效果的持久性以及缝线长期留存的后果的数据仍有待阐明。
目前对线雕的兴趣很高,但本综述表明它尚未应被用作除皱术的替代方法。