Surgery Working Group, Society of Junior Doctors, 5 Menalou St., Athens, 15123, Greece.
Surgery Working Group, Society of Junior Doctors, 5 Menalou St., Athens, 15123, Greece; Department of Marketing and Communication, Athens University of Economics and Business, 76 Patission str., Athens, 10434, Greece.
J Plast Reconstr Aesthet Surg. 2018 May;71(5):624-636. doi: 10.1016/j.bjps.2018.01.011. Epub 2018 Feb 6.
Smoking is considered to be a significant risk factor for the development of postoperative complications after various surgical procedures, mainly by limiting oxygen delivery to tissues. Evidence on the collective impact of smoking in aesthetic procedure outcomes is scarce. The aim of this study is to evaluate the current evidence on the association between smoking and postoperative outcomes in patients who underwent common elective procedures in plastic surgery.
PubMed and Cochrane bibliographical databases were searched from January 1950 to October 2016 for studies reporting on patients who underwent facelift, abdominoplasty, breast reduction and breast reconstruction and for studies with included data on smoking history of treated patients.
Fifty-three studies reporting on postoperative complications in tobacco users undergoing facelift, abdominoplasty, breast reduction and reconstruction were identified. Tobacco use is found to significantly increase the total number of postoperative complications as far as abdominoplasty (OR: 5.43; 95% CI = 2.92-10.10), breast reduction (OR: 2.36; 95% CI = 1.64-3.39) and breast reconstruction (OR: 1.91; 95% CI = 1.69-2.17) are concerned. Smoking history does not significantly affect total postoperative complications after facelift procedures (OR: 3.36; 95% CI = 0.92-12.30).
Smoking predisposes to surgical site infections, delayed wound healing and skin necrosis in patients undergoing the most common aesthetic procedures in plastic surgery. More rigorous and detailed reporting on the history of tobacco use and surgical outcomes following plastic surgery procedures is needed to better quantify the impact of smoking on the overall postoperative care for this patient population.
吸烟被认为是各种外科手术后发生术后并发症的重要危险因素，主要通过限制组织供氧来实现。关于吸烟对美容手术结果的综合影响的证据很少。本研究旨在评估关于吸烟与整形手术中常见择期手术患者术后结果之间关联的现有证据。
从 1950 年 1 月至 2016 年 10 月，我们在 PubMed 和 Cochrane 文献数据库中检索了报告接受面部提升术、腹部整形术、乳房缩小术和乳房重建术的患者以及包含治疗患者吸烟史数据的研究的文献。
确定了 53 项关于接受面部提升术、腹部整形术、乳房缩小术和重建术的吸烟者术后并发症的研究。吸烟会显著增加腹部整形术（OR：5.43；95%CI=2.92-10.10）、乳房缩小术（OR：2.36；95%CI=1.64-3.39）和乳房重建术（OR：1.91；95%CI=1.69-2.17）的总术后并发症数量。吸烟史不会显著影响面部提升术的总术后并发症（OR：3.36；95%CI=0.92-12.30）。
吸烟使接受整形手术中最常见美容手术的患者易发生手术部位感染、伤口愈合延迟和皮肤坏死。需要更严格和详细地报告烟草使用史和整形手术后的手术结果，以便更好地量化吸烟对该患者人群整体术后护理的影响。
