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评估用于改善恢复情况的局部辅助性颏下注射ATX-101(脱氧胆酸):一项单中心、双盲、随机对照试验性研究。

Evaluating a Topical Adjunctive Post Submental ATX-101 (Deoxycholic Acid) Injections for Improved Recovery: A Single-Center, Double-Blind, Randomized Controlled Pilot Study.

作者信息

Shridharani Sachin M

机构信息

Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, USA.

出版信息

Aesthet Surg J Open Forum. 2021 Jun 29;3(3):ojab028. doi: 10.1093/asjof/ojab028. eCollection 2021 Sep.

Abstract

BACKGROUND

Optimizing postprocedural recovery and outcomes for patients is the aim for all physicians. TransFORM Body Treatment with TriHex Technology (TFB) is a topical product that aids in the elimination of fat particles created during procedures and the reduction of associated inflammation, thus speeding up postprocedure recovery time.

OBJECTIVES

Evaluation of postprocedural symptoms, signs, and healing following submental deoxycholic acid (DCA) injections in combination with TFB.

METHODS

Participants received 2 treatments of submental DCA injections. Posttreatment 1, every participant received TFB to apply twice daily to the submental area. Follow-up visits included weeks 1, 2, and 4. After week 4, participants discontinued TFB for 30 days before the second treatment. At the second treatment visit, participants were randomized to receive either TFB or a bland moisturizer to apply twice daily with the same follow-up visits as posttreatment 1. Induration measurements, submental fullness grading, and standardized photography were captured at every visit. At all follow-up visits and before treatment 2, investigator assessments and participant assessments were completed.

RESULTS

Posttreatment 2, investigator assessments of edema and induration decreased in participants using TFB at weeks 1 and 2 compared with the bland moisturizer. Induration measurements objectively showed a statistically significant reduction at week 2 (posttreatment 2) in participants using TFB compared with the bland moisturizer. Furthermore, participants reported less tenderness and soreness in the TFB group over the bland moisturizer.

CONCLUSIONS

Investigator assessments, participant query, and objective induration analyses have demonstrated that the use of TFB post DCA injections may reduce induration, edema, and discomfort associated with this procedure.

摘要

背景

为患者优化术后恢复情况和治疗结果是所有医生的目标。采用TriHex技术的TransFORM身体治疗产品(TFB)是一种局部用产品,有助于消除手术过程中产生的脂肪颗粒并减轻相关炎症,从而加快术后恢复时间。

目的

评估在颏下注射去氧胆酸(DCA)联合TFB后的术后症状、体征及愈合情况。

方法

参与者接受2次颏下DCA注射治疗。在治疗1后,每位参与者每天在颏下区域涂抹2次TFB。随访包括第1、2和4周。在第4周后,参与者在第二次治疗前停用TFB 30天。在第二次治疗就诊时,参与者被随机分为两组,一组每天涂抹2次TFB,另一组每天涂抹2次无活性保湿剂,随访安排与治疗1后相同。每次就诊时均进行硬结测量、颏下饱满度分级及标准化拍照。在所有随访就诊时以及治疗2前,完成研究者评估和参与者评估。

结果

在治疗2后,与使用无活性保湿剂的参与者相比,在第1周和第2周使用TFB的参与者,研究者对其水肿和硬结的评估有所减轻。硬结测量结果客观显示,在第2周(治疗2后),使用TFB的参与者与使用无活性保湿剂的参与者相比,硬结有统计学意义的显著减小。此外,与使用无活性保湿剂的参与者相比,TFB组的参与者报告的压痛和酸痛更少。

结论

研究者评估、参与者询问及客观硬结分析均表明,DCA注射后使用TFB可能会减轻与该手术相关的硬结、水肿和不适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/249b/8353883/5bd49dfe2bf5/ojab028_fig1.jpg

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