Prevention of Autologous Costal Cartilage Graft Warping in Secondary Rhinoplasty.
메타분석
2/5 보강
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
64 cases (range 9-357).
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[CONCLUSIONS] ACCG warping during secondary rhinoplasty can be alleviated with a variety of techniques with no clear difference in outcomes between approaches. Plastic surgeons may consider adopting one of the various techniques described in order to reduce warping, maximize aesthetic outcomes and patient satisfaction.
【연구 목적】 이차 코성형술에서 자가 갈비연골 이식물(autogenous costal cartilage grafts)의 변형(warping)을 예방하기 위한 다양한 중재 기법들을 체계적으로 평가하고, 이를 적용했을 때의 장기적 결과를 분석하는 것이 본 연구의 핵심 목표이다.
- 연구 설계 systematic review
APA
McGuire C, Samargandi OA, et al. (2020). Prevention of Autologous Costal Cartilage Graft Warping in Secondary Rhinoplasty.. The Journal of craniofacial surgery, 31(5), 1246-1250. https://doi.org/10.1097/SCS.0000000000006429
MLA
McGuire C, et al.. "Prevention of Autologous Costal Cartilage Graft Warping in Secondary Rhinoplasty.." The Journal of craniofacial surgery, vol. 31, no. 5, 2020, pp. 1246-1250.
PMID
32282481 ↗
Abstract 한글 요약
[BACKGROUND] Autogenous costal cartilage grafts (ACCG) are frequently used in secondary rhinoplasty; however, these grafts tend to warp. The objective of this study is to systematically evaluate current interventions to prevent warping of ACCGs and to assess long-term outcomes with their use.
[METHODS] A systematic review was undertaken using a computerized search. Eligible articles assessed adult patients undergoing secondary rhinoplasty with ACCGs. Interventions to reduce warping were examined. Publication descriptors were extracted, heterogeneity was examined, and methodological quality of articles was assessed.
[RESULTS] Eighteen studies were included. Most studies were published after 2010 (83.3%), assessed a single intervention (83.3%), and were of levels of evidence III and IV. Mean patient age was 30 (range 5-95 years) and studies included a mean of 64 cases (range 9-357). Nine of the 15 non-comparative studies were considered of high methodological quality, while all 3 comparative studies were considered high quality. Secondary rhinoplasties which did not describe a method to address warping showed increased rates of warping compared to counter balancing techniques, chimeric grafts, titanium microplating, Kirschner wire and suture usage, irradiation, and various carving techniques. Rates of warping remained low with no major complications with the use of a variety of approaches.
[CONCLUSIONS] ACCG warping during secondary rhinoplasty can be alleviated with a variety of techniques with no clear difference in outcomes between approaches. Plastic surgeons may consider adopting one of the various techniques described in order to reduce warping, maximize aesthetic outcomes and patient satisfaction.
[METHODS] A systematic review was undertaken using a computerized search. Eligible articles assessed adult patients undergoing secondary rhinoplasty with ACCGs. Interventions to reduce warping were examined. Publication descriptors were extracted, heterogeneity was examined, and methodological quality of articles was assessed.
[RESULTS] Eighteen studies were included. Most studies were published after 2010 (83.3%), assessed a single intervention (83.3%), and were of levels of evidence III and IV. Mean patient age was 30 (range 5-95 years) and studies included a mean of 64 cases (range 9-357). Nine of the 15 non-comparative studies were considered of high methodological quality, while all 3 comparative studies were considered high quality. Secondary rhinoplasties which did not describe a method to address warping showed increased rates of warping compared to counter balancing techniques, chimeric grafts, titanium microplating, Kirschner wire and suture usage, irradiation, and various carving techniques. Rates of warping remained low with no major complications with the use of a variety of approaches.
[CONCLUSIONS] ACCG warping during secondary rhinoplasty can be alleviated with a variety of techniques with no clear difference in outcomes between approaches. Plastic surgeons may consider adopting one of the various techniques described in order to reduce warping, maximize aesthetic outcomes and patient satisfaction.
【연구 목적】
이차 코성형술에서 자가 갈비연골 이식물(autogenous costal cartilage grafts)의 변형(warping)을 예방하기 위한 다양한 중재 기법들을 체계적으로 평가하고, 이를 적용했을 때의 장기적 결과를 분석하는 것이 본 연구의 핵심 목표이다.
【방법】
이차 코성형술에 자가 갈비연골 이식을 시행한 성인 환자를 대상으로 한 문헌들을 검색하여 체계적 문헌 고찰(systematic review)을 수행하였다. 총 18편의 연구를 포함하였으며, 변형 예방 기법, 출판 연도, 증거 수준, 방법론적 질 등을 추출하고 분석하였다.
【주요 결과】
변형 예방 기법을 명시하지 않은 군에 비해 균형을 맞추는 기법(counter balancing techniques), 키메라 이식물(chimeric grafts), 티타늄 미세 고정(titanium microplating), Kirschner wire 및 봉합 사용, 조사(irradiation), 다양한 조각 기법 등을 적용한 군에서 변형률이 현저히 낮았다. 다양한 접근법 모두에서 변형률이 낮았으며 주요 합병증 없이 안전하게 사용되었다.
【임상적 시사점 (성형외과 의사 관점)】
이차 코성형술에서 자가 갈비연골 이식물의 변형을 막기 위해 단일 기법에 집착하기보다 균형을 맞추는 기법, 키메라 이식물, 티타늄 미세 고정, Kirschner wire 및 봉합, 조사, 다양한 조각 기법 등 여러 기법 중 하나를 선택하여 적용할 수 있다. 각 기법 간 변형 예방 효과의 명확한 우위가 없으므로, 수술자의 숙련도와 환자의 해부학적 특성에 따라 유연하게 기법을 선택하는 것이 중요하다. 이는 코성형술(rhinoplasty) 후 미용적 결과와 환자 만족도를 극대화하는 데 기여한다. 또한, 이식물의 변형으로 인한 재수술 위험을 줄임으로써 악안면 수술 및 재건 영역에서 장기적인 치료 성적을 높일 수 있다.
추출된 의학 개체 (NER)
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | rhinoplasty
|
코성형술 | dict | 4 | |
| 해부 | Costal Cartilage Graft
|
scispacy | 1 | ||
| 해부 | grafts
|
이식편 | scispacy | 1 | |
| 해부 | titanium
|
티타늄 | scispacy | 1 | |
| 재료 | autologous costal cartilage
|
늑연골 | dict | 1 | |
| 재료 | costal cartilage
|
늑연골 | dict | 1 | |
| 약물 | ACCGs
|
scispacy | 1 | ||
| 약물 | titanium
|
티타늄 |
C0040302
titanium
|
scispacy | 1 |
| 약물 | [BACKGROUND] Autogenous costal
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS] ACCG
|
scispacy | 1 | ||
| 기타 | ACCGs
|
scispacy | 1 | ||
| 기타 | Kirschner wire
|
scispacy | 1 |
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