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评估纳米脂肪移植面部瘢痕治疗技术的疗效:病例系列研究

Evaluating the Efficacy of Facial Scar Treatment Techniques Using Nanofat Grafting: A Case Series.

作者信息

Alnemr Mhd Anas, Brad Bassel, Ismail Elmi Fatima, Li Lei

机构信息

Department of Oral and Maxillofacial Surgery, Damascus University, Damascus, SYR.

Department of Maxillofacial Surgery/Plastic Operations, Klinikum Oldenburg, Oldenburg, DEU.

出版信息

Cureus. 2024 Sep 6;16(9):e68817. doi: 10.7759/cureus.68817. eCollection 2024 Sep.

DOI:10.7759/cureus.68817
PMID:39376843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456986/
Abstract

Patient's psychological and aesthetic quality is affected by the appearance of scars since atrophic scars might be caused by infections or inflammations that resulted from preoperative procedures. Non-surgical methods have recently been developed to increase patient satisfaction and improve the appearance of scars. In our understanding, there has not been much published medical research assessing how well nanofat grafting techniques work in terms of treating facial scars. With a six-month follow-up after the intervention, this research intends to provide four cases where scars in the facial area were controlled utilizing these materials. Based on the cases shown, it can be seen that following the procedure, the scar's measurements were minimized, its color and texture improved, and there was no pain or itching. Given its safety and effectiveness, autologous nanofat grafting has become one of the most important and well-liked aesthetic procedures. It has been discussed how modifying injectable nanofat using fine needles has opened up new clinical applications for rejuvenating aesthetic medicine. Additionally, it was pointed out that injectable PRF has gained attention due to its high concentration of growth factors, which help to promote healing and improve the appearance of the skin. Furthermore, it can be efficiently shared with autogenous nanofat grafts, which support and enhance the efficacy of adipose-derived stem cells (ADSCs) and improve adipocyte blood circulation. The current use of modified nanofat in the treatment of facial scars is supported by the procedure's safety and low risk of injection-site problems. The consistent efficacy of modified-nanofat injection in the management of depression-related facial scars was validated by the outcomes of patient satisfaction surveys and physician evaluations.

摘要

萎缩性瘢痕可能由术前手术引起的感染或炎症导致,患者的心理和美学质量会受到瘢痕外观的影响。最近已开发出非手术方法来提高患者满意度并改善瘢痕外观。据我们了解,目前尚未有大量已发表的医学研究评估纳米脂肪移植技术在治疗面部瘢痕方面的效果如何。本研究在干预后进行了为期六个月的随访,旨在提供四个利用这些材料控制面部瘢痕的病例。从所示病例可以看出,术后瘢痕尺寸减小,颜色和质地改善,且无疼痛或瘙痒。鉴于其安全性和有效性,自体纳米脂肪移植已成为最重要且最受欢迎的美容手术之一。文中讨论了使用细针改良可注射纳米脂肪如何为美容医学的年轻化开辟了新的临床应用。此外,还指出可注射富血小板纤维蛋白(PRF)因其高浓度的生长因子而受到关注,这些生长因子有助于促进愈合并改善皮肤外观。此外,它可以与自体纳米脂肪移植有效结合,后者支持并增强脂肪来源干细胞(ADSC)的功效,改善脂肪细胞血液循环。改良纳米脂肪目前在面部瘢痕治疗中的应用得到了该手术安全性及注射部位问题低风险的支持。患者满意度调查和医生评估的结果验证了改良纳米脂肪注射在治疗与凹陷相关的面部瘢痕方面的持续疗效。

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本文引用的文献

1
Use of platelet-rich fibrin in fat grafts during facial lipostructure.富含血小板纤维蛋白在面部脂肪移植结构中的应用。
Front Surg. 2022 Oct 27;9:923342. doi: 10.3389/fsurg.2022.923342. eCollection 2022.
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Combined therapies in scar treatment-The role of autologous derived agents in scar remodeling: A series of cases.联合治疗在瘢痕治疗中的应用-自体衍生制剂在瘢痕重塑中的作用:一系列病例。
Dermatol Ther. 2022 Nov;35(11):e15877. doi: 10.1111/dth.15877. Epub 2022 Oct 7.
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Long-Term Survival of Fat Transplants: Controlled Demonstrations.脂肪移植的长期存活率:对照研究。
Aesthetic Plast Surg. 2020 Aug;44(4):1268-1272. doi: 10.1007/s00266-020-01847-3.
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In Vitro Comparative Study of Emulsified Fat Grafts.乳化脂肪移植的体外对比研究
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An Overview of Principles and New Techniques for Facial Fat Grafting.面部脂肪移植的原则和新技术概述。
Clin Plast Surg. 2020 Jan;47(1):7-17. doi: 10.1016/j.cps.2019.08.001. Epub 2019 Oct 21.
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The Past, Present, and Future of Facial Fat Grafting.面部脂肪移植的过去、现在与未来
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Regenerative Cells For Facial Surgery: Biofilling and Biocontouring.用于面部手术的再生细胞:生物填充与生物轮廓塑造
Aesthet Surg J. 2017 Jul 1;37(suppl_3):S16-S32. doi: 10.1093/asj/sjx078.
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Nanofat 2.0: experimental evidence for a fat grafting rich in mesenchymal stem cells.纳米脂肪2.0:富含间充质干细胞的脂肪移植的实验证据
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Comparative Study Using Autologous Fat Grafts Plus Platelet-Rich Plasma With or Without Fractional CO Laser Resurfacing in Treatment of Acne Scars: Analysis of Outcomes and Satisfaction With FACE-Q.自体脂肪移植联合富血小板血浆加或不加非剥脱性二氧化碳激光换肤治疗痤疮瘢痕的对比研究:基于FACE-Q的疗效及满意度分析
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