Rana Harkaran S, Clabeaux Carson E, Patadia Amol H, Allen Richard C
Trauma and Emergency Subspecialty Surgeons, Denver, Colorado, U.S.A.
Department of Ophthalmology, Madigan Army Medical Center, Tacoma, Washington, U.S.A.
Ophthalmic Plast Reconstr Surg. 2023;39(6):525-532. doi: 10.1097/IOP.0000000000002389. Epub 2023 Apr 3.
The oculofacial plastic surgeon will more frequently encounter challenges related to overweight and obese patients as the incidence rises. There is a paucity of data in the oculofacial plastic surgical literature regarding this topic. The goal of this review is to detail the role obesity plays in the perioperative course and the considerations for a surgeon treating this patient population.
The authors conducted a computerized search using PubMed, Embase, and Google Scholar. The search terms used were "(obesity OR overweight) AND surgery," "(obesity OR overweight) AND oculoplastic," "(obesity OR overweight) AND oculofacial," "(obesity OR overweight) AND 'facial plastic surgery', " "(obesity OR overweight) AND 'bariatric surgery', " "(obesity OR overweight) AND (pre-operative OR post-operative OR intraoperative," " (obesity OR overweight) AND complications," "(obesity OR overweight) AND (facial plastic surgery) AND complications)," "(obesity OR overweight) AND eyelid," "(obesity OR overweight) AND (nasolacrimal OR 'nasolacrimal duct')," "(obesity OR overweight) AND IIH," "(obesity OR overweight) AND exophthalmos."
A total of 127 articles, published from 1952 to 2022 in the English language or with English translations were included. Articles published earlier than 2000 were cited for foundational knowledge. References cited in the identified articles were also used to gather further data for the review.
Overweight and obese patients pose specific challenges that the oculofacial plastic surgeon should be aware of to better optimize patient outcomes. Multiple comorbidities, poor wound healing, and nutritional deficits all contribute to the complications experienced in this patient population. Further investigation on overweight and obese patients is needed.
随着超重和肥胖患者的发病率上升，眼面部整形医生将更频繁地遇到与之相关的挑战。眼面部整形手术文献中关于这一主题的数据匮乏。本综述的目的是详细阐述肥胖在围手术期过程中所起的作用以及外科医生治疗这类患者群体时的注意事项。
作者使用PubMed、Embase和谷歌学术进行了计算机检索。使用的检索词为“（肥胖或超重）与手术”、“（肥胖或超重）与眼部整形”、“（肥胖或超重）与眼面部”、“（肥胖或超重）与‘面部整形手术’”、“（肥胖或超重）与‘减肥手术’”、“（肥胖或超重）与（术前或术后或术中）”、“（肥胖或超重）与并发症”、“（肥胖或超重）与（面部整形手术）与并发症”、“（肥胖或超重）与眼睑”、“（肥胖或超重）与（鼻泪或‘鼻泪管’）”、“（肥胖或超重）与特发性颅内高压”、“（肥胖或超重）与眼球突出”。
共纳入了1952年至2022年以英文发表或有英文译文的127篇文章。引用了2000年以前发表的文章以获取基础知识。还利用已识别文章中引用的参考文献来收集本综述的更多数据。
超重和肥胖患者带来了眼面部整形医生应了解的特定挑战，以便更好地优化患者预后。多种合并症、伤口愈合不良和营养缺乏都导致了这类患者群体出现并发症。需要对超重和肥胖患者进行进一步研究。
