West China School of Medicine, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Department of Plastic and Burns Surgery, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan, 610041, People's Republic of China.
Aesthetic Plast Surg. 2022 Apr;46(2):805-817. doi: 10.1007/s00266-021-02612-w. Epub 2021 Sep 29.
An increasing number of studies have investigated the effect of various methods in avoiding complications in rhinoplasty. Our study aims to analyze the connections between various choices in rhinoplasty and the rate of multiple complications by summarizing results in related meta-analyses.
Through Pubmed, MEDLINE, Embase, and the Cochrane Database were associated systematic reviews searched to gather and review the available evidence of different plans and health outcomes in rhinoplasty for this umbrella review.
The study included 14 systematic reviews with 128 meta-analyses of randomized clinical trials. Edema and ecchymosis were the two most investigated outcomes. The implementations of steroid, tranexamic acid, periosteal preservation, external approach in lateral osteotomy, and piezoelectric osteotomy were linked with significantly lower incidence of several complications. Multiple administration of steroids was found to be associated with fewer complications in a prolonged time.
With summarized evidence of complications related to rhinoplasty, this research can help surgeons to avert patients from suffering complications and optimize cosmetic outcomes.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
越来越多的研究探讨了各种方法在避免鼻整形并发症中的作用。我们的研究旨在通过总结相关荟萃分析的结果，分析鼻整形中各种选择与多种并发症发生率之间的关系。
通过 Pubmed、MEDLINE、Embase 和 Cochrane 数据库进行系统检索，收集和回顾鼻整形中不同方案和健康结果的现有证据，进行伞式综述。
本研究纳入了 14 项系统评价，包含 128 项随机临床试验的荟萃分析。水肿和瘀斑是研究最多的两个结果。使用类固醇、氨甲环酸、骨膜保留、外侧骨切开术的外入路和压电骨切开术与多种并发症发生率显著降低有关。多次使用类固醇被发现与更长时间内并发症减少有关。
本研究综合了与鼻整形相关的并发症证据，有助于外科医生避免患者遭受并发症，并优化美容效果。
证据水平 III：本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266 。
