Queen Mary University of London, London, UK.
J Cosmet Dermatol. 2021 Nov;20(11):3391-3397. doi: 10.1111/jocd.14489. Epub 2021 Sep 29.
In recent years, there has been a rise in non-surgical rhinoplasty (NSR) due to its minimally invasive approach. As with all procedures, NSR can result in complications. Although rare, the consequences of complications can result in a devastating outcome and therefore an evidence-based approach to enable the recognition and management of NSR complications is required.
This paper aims to review and appraise current literature to determine the evidence base for complications experienced with NSR including their causes and management.
A systematic review was conducted using a PRISMA methodology. The PubMed and WebofScience databases were queried. Papers relating to the three most commonly used filler materials; hyaluronic acid (HA), calcium hydroxyapatite and collagen were collated.
Four hundred and ninety studies were identified in the initial literature search and after applying an inclusion and exclusion criteria, 12 papers were included.
The results of this literature review showed a paucity of high-level evidence which may indicate underreporting of NSR complications. Although treatment is not always effective, it is clear that early recognition and treatment favors better outcomes with the potential for complete resolution in some cases. Immediate availability of hyaluronidase is important when undertaking NSR with HA as this review showed early use was critical in the management of serious complications such as vascular occlusion.
近年来，由于非手术隆鼻术（NSR）的微创方法，其应用有所增加。与所有手术一样，NSR 可能会导致并发症。尽管很少见，但并发症的后果可能导致灾难性的后果，因此需要基于证据的方法来识别和管理 NSR 并发症。
本文旨在回顾和评估当前文献，以确定与 NSR 相关的并发症的证据基础，包括其原因和管理。
使用 PRISMA 方法进行系统评价。查询了 PubMed 和 WebofScience 数据库。整理了与三种最常用的填充物（透明质酸（HA）、羟基磷灰石钙和胶原蛋白）相关的论文。
在最初的文献搜索中确定了 490 项研究，经过纳入和排除标准后，纳入了 12 篇论文。
文献回顾的结果表明，高水平证据的缺乏可能表明 NSR 并发症报告不足。尽管治疗并不总是有效，但很明显，早期识别和治疗有利于更好的结果，在某些情况下有完全解决的可能性。在进行 HA 介导的 NSR 时，立即获得透明质酸酶很重要，因为本综述表明，早期使用在管理血管阻塞等严重并发症方面至关重要。
