Autologous fat grafting auxiliary methods in craniofacial deformities: A systematic review and network meta-analysis

Nathanael Tendean Witono , Ahmad Fauzi , Kristaninta Bangun
{"title":"Autologous fat grafting auxiliary methods in craniofacial deformities: A systematic review and network meta-analysis","authors":"Nathanael Tendean Witono ,&nbsp;Ahmad Fauzi ,&nbsp;Kristaninta Bangun","doi":"10.1016/j.bjps.2024.09.060","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>To increase autologous fat grafting (AFG) volume retention, current advancements focus on adding an auxiliary method to the process. This review aimed to address which auxiliary methods prove to be the best in terms of volume retention outcome.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was performed in five medical databases, including PubMed, Proquest, Scopus, CENTRAL, and ScienceDirect, until March 2024, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.</div></div><div><h3>Results</h3><div>Twenty-six studies were included in this review, and seven studies were included in the network meta-analysis. Reported auxiliary methods include stromal vascular fractions (SVFs) [12.20, 95% confidence intervals (CI) 0.04 to 24.35], adipose tissue-derived stem cells (ADSCs) (24.20, 95% CI 4.14 to 44.26), and platelet-rich plasma (PRP) [24.10, 95% CI −2.68 to 50.88]. When compared with the standard AFG approach, SVFs (p = 0.049) and ADSCs (p = 0.018) were more successful in retaining volume. However, PRP (p = 0.077) was not as effective. The comparison between auxiliary approaches, ADSCs vs PRP (p = 0.994), ADSCs vs SVFs (p = 0.271), and PRP vs SVF (p = 0.383), did not show any significant differences. Subgroup analysis revealed that the use of volumetric measuring methods has a substantial impact on the reported volume retention (p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>Enhanced volume retention can be attained with the utilization of SVF and ADSCs auxiliary methods in comparison to AFG, with or without PRP. Given the insignificant differences between SVF and ADSC, along with the greater complexity of the ADSC process, we recommend for the preferable use of SVF.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Pages 377-391"},"PeriodicalIF":2.0000,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Plastic Reconstructive and Aesthetic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1748681524006144","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background

To increase autologous fat grafting (AFG) volume retention, current advancements focus on adding an auxiliary method to the process. This review aimed to address which auxiliary methods prove to be the best in terms of volume retention outcome.

Methods

A comprehensive literature search was performed in five medical databases, including PubMed, Proquest, Scopus, CENTRAL, and ScienceDirect, until March 2024, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.

Results

Twenty-six studies were included in this review, and seven studies were included in the network meta-analysis. Reported auxiliary methods include stromal vascular fractions (SVFs) [12.20, 95% confidence intervals (CI) 0.04 to 24.35], adipose tissue-derived stem cells (ADSCs) (24.20, 95% CI 4.14 to 44.26), and platelet-rich plasma (PRP) [24.10, 95% CI −2.68 to 50.88]. When compared with the standard AFG approach, SVFs (p = 0.049) and ADSCs (p = 0.018) were more successful in retaining volume. However, PRP (p = 0.077) was not as effective. The comparison between auxiliary approaches, ADSCs vs PRP (p = 0.994), ADSCs vs SVFs (p = 0.271), and PRP vs SVF (p = 0.383), did not show any significant differences. Subgroup analysis revealed that the use of volumetric measuring methods has a substantial impact on the reported volume retention (p < 0.0001).

Conclusion

Enhanced volume retention can be attained with the utilization of SVF and ADSCs auxiliary methods in comparison to AFG, with or without PRP. Given the insignificant differences between SVF and ADSC, along with the greater complexity of the ADSC process, we recommend for the preferable use of SVF.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
颅面畸形的自体脂肪移植辅助方法:系统综述和网络荟萃分析。
背景:为了提高自体脂肪移植(AFG)的容积保持率,目前的进展主要集中在为这一过程添加辅助方法。本综述旨在探讨哪种辅助方法在容积保持效果方面被证明是最好的:根据系统综述和元分析首选报告项目(PRISMA)指南,在五大医学数据库(包括 PubMed、Proquest、Scopus、CENTRAL 和 ScienceDirect)中进行了全面的文献检索,检索期至 2024 年 3 月:本综述纳入了 26 项研究,网络荟萃分析纳入了 7 项研究。报告的辅助方法包括基质血管碎片(SVFs)[12.20,95%置信区间(CI)0.04至24.35]、脂肪组织衍生干细胞(ADSCs)(24.20,95% CI 4.14至44.26)和富血小板血浆(PRP)[24.10,95% CI -2.68至50.88]。与标准 AFG 方法相比,SVFs(p = 0.049)和 ADSCs(p = 0.018)在保留容积方面更为成功。然而,PRP(p = 0.077)的效果不佳。ADSCs vs PRP (p = 0.994)、ADSCs vs SVFs (p = 0.271)和 PRP vs SVF (p = 0.383)等辅助方法之间的比较没有显示出任何显著差异。分组分析表明,使用容积测量方法对报告的容积保持率有很大影响(p < 0.0001):结论:使用 SVF 和 ADSCs 辅助方法与使用或不使用 PRP 的 AFG 相比,可以提高容积保持率。鉴于 SVF 和 ADSC 之间的差异并不明显,而且 ADSC 过程更为复杂,我们建议优先使用 SVF。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
3.10
自引率
11.10%
发文量
578
审稿时长
3.5 months
期刊介绍: JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.
期刊最新文献
Enhancing the QUINTET study: Exploring quality of life after open lower limb trauma while strengthening research methodology Letter to the editor regarding “Dissociated urethral plate Onlay and standard Onlay urethroplasty for mid-distal hypospadias: A comparative study” The main element responsible for the formation of penile curvature associated with severe hypospadias is not the fibrous tissue present under the urethral plate SCIV-only versus VCs-only conduit: Which is optimal for multipaddle and chimeric SCIAP flaps? Clinicopathologic features and surgical management in vulvovaginal melanoma – A retrospective single-center study Rib-sparing subclavian vein decompression in venous thoracic outlet syndrome
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1