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Tissue Sealants for Facial Rhytidectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Chien, Wei-Ying; Huang, Ya-Li; Chiu, Wen-Kuan; Kang, Yi-No; Chen, Chiehfeng.
Afiliación
  • Chien WY; School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Huang YL; Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Chiu WK; Division of Plastic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
  • Kang YN; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Chen C; Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan.
Facial Plast Surg Aesthet Med ; 25(2): 90-96, 2023.
Article en En | MEDLINE | ID: mdl-36260353
Background: The aging face can be surgically treated with a face-lift (rhytidectomy); however, bleeding and hematoma are complications that surgeons seek to prevent. Objective: To compare the drainage volume and rate of hematoma in studies of rhytidectomy among those having tissue sealants and those without. Methods: This systematic review and meta-analysis was prospectively registered in PROSPERO (CRD42022325404). We included randomized controlled trials (RCTs) that the enrolled participants undergoing rhytidectomy and used tissue sealants as the intervention. We calculated the mean and standard deviation for the drainage volume; risk ratios (RRs) were used for hematoma incidents. Results: Seven RCTs were included. The drainage volume was significantly lower in the tissue sealant group than in the control group (mean difference [MD]: -11.01, confidence interval [95% CI]: -18.39 to -3.63, p < 0.00001). As for hematomas, the incidence was also lower in the tissue sealant group (RR: 0.29, 95% CI: 0.08-0.99, p = 0.05). Conclusion: This study suggests that tissue sealants can be effective in reducing drainage volume and hematoma in face-lift; however, autologous and homologous tissue sealants can be further compared in future RCTs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ritidoplastia / Adhesivo de Tejido de Fibrina Tipo de estudio: Clinical_trials / Systematic_reviews Límite: Humans Idioma: En Revista: Facial Plast Surg Aesthet Med Año: 2023 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ritidoplastia / Adhesivo de Tejido de Fibrina Tipo de estudio: Clinical_trials / Systematic_reviews Límite: Humans Idioma: En Revista: Facial Plast Surg Aesthet Med Año: 2023 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos