Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, 6 Weizman Street, 6423906, Tel Aviv, Israel.
The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
Aesthetic Plast Surg. 2023 Oct;47(5):2130-2135. doi: 10.1007/s00266-023-03509-6. Epub 2023 Jul 27.
Facial feminization surgical procedures are involving several surgical disciplines in multiple surgical sites and therefore may carry the risk of developing infections. Data on the development of postsurgical infection (PSI) and contributing factors in male-to-female transgender people (transwomen) undergoing facial feminization surgery are scarce. The aim of this study was to investigate the contributing factors to develop PSIs in facial feminization surgical procedures.
Data from the medical records of 40 transwomen who underwent facial feminization surgeries in our institution between 2019 and 2021 were analyzed. The independent variables included demographic parameters (weight, body mass index, medical comorbidities and age), details of the surgical procedure (type, duration and whether another procedure had been performed concomitantly), type, dosage and route of administration of postoperative antibiotics and steroids, length of hospitalization and follow-up duration. Postsurgical infection was designated a dependent variable.
Five out of 40 patients (12.5%) developed PSI. The surgery of those with PSIs involved more sites, and the duration of nasal tamponade was more than four times longer than for patients who did not develop a PSI.
The current study revealed higher postsurgical infections rates after lengthy surgeries or when it involves several surgical facial feminization procedures. Multicenter clinical trial on a big cohort may enable better evidence-based results.
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 .
面部女性化手术涉及多个手术部位的多个外科专业，因此可能存在发生感染的风险。关于接受面部女性化手术的跨性别女性（跨女）术后感染（PSI）的发展和相关因素的数据很少。本研究旨在调查导致面部女性化手术发生 PSI 的相关因素。
分析了 2019 年至 2021 年在我院接受面部女性化手术的 40 名跨女的病历数据。自变量包括人口统计学参数（体重、体重指数、合并症和年龄）、手术细节（类型、持续时间以及是否同时进行了其他手术）、术后抗生素和类固醇的类型、剂量和给药途径、住院时间和随访时间。术后感染被指定为因变量。
40 名患者中有 5 名（12.5%）发生 PSI。发生 PSI 的患者手术涉及更多部位，鼻填塞时间也比未发生 PSI 的患者长四倍多。
本研究显示，长时间手术或涉及多个面部女性化手术时，术后感染率更高。对大样本量的多中心临床试验可能会得出更好的基于证据的结果。
证据水平 III：本刊要求作者为每篇文章分配一个证据级别。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南 www.springer.com/00266。
