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美容手术后周围神经损伤的发生与治疗

Occurrence and treatment of peripheral nerve injuries after cosmetic surgeries.

作者信息

Chen Qiang, Li Pengfei, Zhao QingFang, Tu Tian, Lu Hui, Zhang Wei

机构信息

Department of Hand & Reconstructive Surgery, Center for Plastic & Reconstructive Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Department of Plastic and Aesthetic Center, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.

出版信息

Front Neurol. 2023 Oct 20;14:1258759. doi: 10.3389/fneur.2023.1258759. eCollection 2023.

Abstract

Although non-invasive and minimally invasive aesthetic procedures increasingly dominate the cosmetic market, traditional plastic surgery remains the most effective improvement method. One of the most common complications in plastic surgery, peripheral nerve injuries, though has a low incidence but intrigued plastic surgeons globally. In this article, a narrative review was conducted using several databases (PubMed, EMBASE, Scopus, and Web of Science) to identify peripheral nerve injuries following cosmetic surgeries such as blepharoplasty, rhinoplasty, rhytidectomy, breast surgeries, and abdominoplasty. Surgery-related nerve injuries were discussed, respectively. Despite the low incidence, cosmetic plastic surgeries can cause iatrogenic peripheral nerve injuries that require special attention. The postoperative algorithm approaches can be effective, but the waiting and treatment processes can be long and painful. Preventive measures are undoubtedly more effective than postoperative remedies. The best means of preventing disease is having a good understanding of anatomy and conducting a careful dissection.

摘要

尽管非侵入性和微创美容手术在美容市场中越来越占据主导地位,但传统整形手术仍然是最有效的改善方法。整形手术中最常见的并发症之一是周围神经损伤,其发生率虽低,但却引起了全球整形外科医生的关注。在本文中,我们使用多个数据库(PubMed、EMBASE、Scopus和Web of Science)进行了一项叙述性综述,以确定诸如眼睑成形术、隆鼻术、除皱术、乳房手术和腹壁成形术等美容手术后的周围神经损伤情况。分别讨论了与手术相关的神经损伤。尽管发生率较低,但美容整形手术仍可导致医源性周围神经损伤,这需要特别关注。术后算法方法可能有效,但等待和治疗过程可能漫长且痛苦。预防措施无疑比术后补救措施更有效。预防疾病的最佳方法是充分了解解剖结构并进行仔细的解剖操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b155/10659089/4c8d322c894e/fneur-14-1258759-g001.jpg

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