Endolift® is a non-surgical treatment for skin tissue conditions. Is there evidence for its application?

IF 2.1 4区 医学 Q3 ENGINEERING, BIOMEDICAL Lasers in Medical Science Pub Date : 2025-01-18 DOI:10.1007/s10103-025-04288-z
Débora Aparecida Oliveira Modena, Aline Pedro de Melo Yamamoto, Thaís Bruna Ferreira da Silva
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Abstract

The Endolift® technique, introduced in 2005, gained popularity among medical and non-medical professionals as a non-surgical approach using subdermal laser devices. However, its widespread adoption lacked a thorough understanding of its physiological interaction, resulting in controversies over its effectiveness and safety. This study aimed to assess the evidence of Endolift® efficacy, parametrization, and safety by analyzing adverse events. A systematic literature review was conducted by searching the following databases: NCBI/PubMed, Medline, Embase, CINAHL, and the Cochrane Central Library. These searches resulted in 111 articles. Seven articles were selected after removing duplicates and screening titles, abstracts, and full texts. These articles exhibited a high risk of bias, a lack of standardization in treatment parameters, and reports of adverse events that did not align with clinical reality, often occurring with off-label use.In conclusion, due to insufficient high-quality research and inconsistent indications and parameter adjustments, asserting the efficacy and safety of Endolift® is challenging. Randomized studies are recommended to curb indiscriminate use, which may compromise patient safety. This analysis underscores the importance of evidence-based clinical practices for patient safety and ethical treatment.

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Endolift®是一种针对皮肤组织状况的非手术治疗方法。它的应用有证据吗?
Endolift®技术于2005年推出,作为一种使用皮下激光装置的非手术方法,在医疗和非医疗专业人员中广受欢迎。然而,其广泛应用缺乏对其生理相互作用的透彻理解,导致其有效性和安全性存在争议。本研究旨在通过分析不良事件来评估Endolift®的疗效、参数化和安全性。通过检索以下数据库进行系统的文献综述:NCBI/PubMed、Medline、Embase、CINAHL和Cochrane中央图书馆。这些搜索产生了111篇文章。在剔除重复、筛选标题、摘要和全文后,选出了7篇文章。这些文章显示出高偏倚风险,治疗参数缺乏标准化,不良事件报告与临床现实不符,通常发生在标签外使用。总之,由于缺乏高质量的研究,适应症和参数调整不一致,断言Endolift®的有效性和安全性具有挑战性。建议进行随机研究,以遏制滥用,这可能危及患者安全。这一分析强调了循证临床实践对患者安全和伦理治疗的重要性。
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来源期刊
Lasers in Medical Science
Lasers in Medical Science 医学-工程:生物医学
CiteScore
4.50
自引率
4.80%
发文量
192
审稿时长
3-8 weeks
期刊介绍: Lasers in Medical Science (LIMS) has established itself as the leading international journal in the rapidly expanding field of medical and dental applications of lasers and light. It provides a forum for the publication of papers on the technical, experimental, and clinical aspects of the use of medical lasers, including lasers in surgery, endoscopy, angioplasty, hyperthermia of tumors, and photodynamic therapy. In addition to medical laser applications, LIMS presents high-quality manuscripts on a wide range of dental topics, including aesthetic dentistry, endodontics, orthodontics, and prosthodontics. The journal publishes articles on the medical and dental applications of novel laser technologies, light delivery systems, sensors to monitor laser effects, basic laser-tissue interactions, and the modeling of laser-tissue interactions. Beyond laser applications, LIMS features articles relating to the use of non-laser light-tissue interactions.
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