Drs Ballan and Rayess are Residents, Dr S. Jabbour is a Faculty and Dr Nasr is an Associate Professor, Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon.
Dr K. Jabbour is an Assistant Professor, Department of Anesthesia, Faculty of Medicine, Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon.
Aesthet Surg J. 2020 Oct 24;40(11):1157-1164. doi: 10.1093/asj/sjz353.
Different technical variations exist for the utilization of quilting sutures (QS) in rhytidectomy. No systematic review or meta-analysis of the studies describing the use of QS in facelifts has been published to date to the authors' knowledge.
The objective of this study was to summarize all the published data regarding the utilization of QS in rhytidectomy, compare QS techniques, and evaluate their effect on postoperative complications.
On April 1, 2019, a systematic search of the Medline, Embase, and Cochrane databases was conducted. All the studies describing the usage of QS in facelifts were included in this review. Studies reporting hematoma rate in a QS group and a control group were included in the meta-analysis part of this study.
The initial search of the databases yielded 93 results. Four trials were included in the systematic review and 2 were included in the meta-analysis. The total number of included patients with QS was 527. Two studies employed internal QS and the remaining studies utilized external QS. The meta-analysis found a lower rate of hematoma in the QS group (relative risk, 0.02; 95% confidence interval = 0.00-0.13; P < 0.0001).
QS can be applied either internally or externally and are very effective in reducing hematomas after facelifts. QS could be a great asset in facelifts but should be utilized with caution because additional work is needed to confirm their safety and efficacy.
在面部提升术中，使用绗缝缝线（QS）存在不同的技术变化。据作者所知，目前尚无关于描述 QS 在面部提升术中应用的研究的系统评价或荟萃分析。
本研究的目的是总结所有关于 QS 在面部提升术中应用的已发表数据，比较 QS 技术，并评估它们对术后并发症的影响。
2019 年 4 月 1 日，对 Medline、Embase 和 Cochrane 数据库进行了系统检索。本综述纳入了所有描述 QS 在面部提升术中应用的研究。本研究的荟萃分析部分纳入了报告 QS 组和对照组血肿发生率的研究。
数据库初步检索得到 93 项结果。四项试验被纳入系统评价，两项试验被纳入荟萃分析。纳入 QS 的患者总数为 527 例。两项研究采用内部 QS，其余研究采用外部 QS。荟萃分析发现 QS 组的血肿发生率较低（相对风险，0.02；95%置信区间=0.00-0.13；P<0.0001）。
QS 可内部或外部应用，在减少面部提升术后血肿方面非常有效。QS 可以在面部提升术中发挥重要作用，但应谨慎使用，因为需要进一步的工作来确认其安全性和有效性。
