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氦等离子体皮肤磨削术联合或不联合面部和颈部同期美容手术:一项回顾性研究。

Helium Plasma Dermal Resurfacing With and Without Concurrent Aesthetic Surgery of the Face and Neck: A Retrospective Review.

作者信息

DeLozier Joseph B, Holcomb J David

出版信息

Aesthet Surg J Open Forum. 2022 Jul 6;4:ojac061. doi: 10.1093/asjof/ojac061. eCollection 2022.

Abstract

BACKGROUND

Helium plasma dermal resurfacing (HPDR) is an emerging off-label use for an existing FDA-approved device.

OBJECTIVES

Retrospective evaluation of patient satisfaction and adverse events (AEs) following facial skin resurfacing with HPDR technology.

METHODS

Single-site, retrospective review of 301 patient charts following HPDR treatment of the face. Patient satisfaction data were collected during review of medical records. AE data were analyzed to determine the effects of demographic, procedural, and posttreatment variables on the presence or absence of AEs.

RESULTS

HPDR was performed concurrently with other facial/non-facial surgical procedures in 193 of 301 patients (64.1%) including over undermined facial skin in 58 patients (19.3%) during rhytidectomy. No serious AEs were observed. Nonserious AEs were noted, however, in 20 patients (7.3%) and included erythema/prolonged erythema, hyperpigmentation, milia, slow healing, and upper lip hypertrophic scar. Among the 288 patients returning for follow-up (mean 2 months postprocedure), satisfaction with HPDR treatment results was documented in 275 patients (95.5%); the remaining 13 patients' charts did not reference satisfaction or dissatisfaction, and no AEs were recorded for this patient subgroup.

CONCLUSIONS

This retrospective study supports the use and safety of HPDR technology for facial skin rejuvenation; no serious AEs and relatively few nonserious AEs were observed following either sole modality HPDR or HPDR with concurrent treatment of undermined skin tissue during rhytidectomy procedures. Patient satisfaction and observed results are comparable to full-field laser skin resurfacing treatments.

摘要

背景

氦等离子体皮肤磨削术(HPDR)是一种针对现有FDA批准设备的新兴非标签用途。

目的

回顾性评估采用HPDR技术进行面部皮肤磨削术后的患者满意度和不良事件(AE)。

方法

对301例接受HPDR面部治疗的患者病历进行单中心回顾性研究。在审查病历过程中收集患者满意度数据。分析AE数据,以确定人口统计学、手术和治疗后变量对AE发生与否的影响。

结果

301例患者中有193例(64.1%)在进行HPDR的同时还进行了其他面部/非面部外科手术,其中58例(19.3%)在除皱术中对面部皮肤进行了过度剥离。未观察到严重AE。然而,20例患者(7.3%)出现了非严重AE,包括红斑/持续性红斑、色素沉着、粟丘疹、愈合缓慢和上唇肥厚性瘢痕。在288例返回进行随访的患者中(平均术后2个月),275例患者(95.5%)记录了对HPDR治疗效果的满意度;其余13例患者的病历未提及满意或不满意情况,且该患者亚组未记录AE。

结论

这项回顾性研究支持HPDR技术用于面部皮肤年轻化的安全性和有效性;在单纯HPDR治疗或除皱术中同时治疗皮肤组织剥离的HPDR治疗后,未观察到严重AE,非严重AE也相对较少。患者满意度和观察结果与全脸激光皮肤磨削术治疗相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da0/9422080/0f3ef241b324/ojac061_fig1.jpg

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