Clinical Application of Platelet-Rich Fibrin in Plastic and Reconstructive Surgery: A Systematic Review

Clinical Application of Platelet-Rich Fibrin in Plastic and Reconstructive Surgery: A Systematic Review
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富血小板纤维蛋白在整形重建手术中的临床应用:系统评价

DOI:
10.1007/s00266-018-1087-0
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发表时间:
2018
影响因子:
2.4
通讯作者:
Zuoliang Qi
Zuoliang Qi
中科院分区:
医学3区
文献类型:
--
作者:
Panxi Yu;Zhen Zhai;Xiaolei Jin;Xiaonan Yang;Zuoliang Qi

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背景富血小板纤维蛋白(PRF)在临床领域的应用已经有十多年了,但主要是在口腔外科和种植牙领域。它在整形和重建手术中的应用有限并且缺乏全面的审查。因此,本文通过系统综述重点关注 PRF 在整形与重建领域的各种临床应用。方法在这篇综述中,使用预定的纳入和排除标准筛选描述 PRF 在整形与重建手术中的临床应用的文章。根据 PRF 的使用情况对文章进行总结并分组。对PRF的疗效和并发症进行分析和总结。结果在检索的634篇文章中,符合条件的文章有7篇,描述了151例。 116处(76.8%)伤口应用PRF促进组织愈合,伤口完全闭合率为91.4%(106/116)。另外,10例(6.6%)颧上颌骨骨折患者应用PRF重建眶底缺损,25例(16.6%)面部自体脂肪移植成功提高脂肪保留率。目前尚无PRF相关并发症的报道。结论PRF可以促进伤口愈合,包括软组织和骨组织的愈合,并提高脂肪成活率。需要进一步的研究来测试 PRF 的机制并扩大其在整形和重建手术中的应用范围。证据级别 III 该期刊要求作者为每篇文章分配一个证据级别。有关这些循证医学评级的完整说明,请参阅目录或在线作者须知 www.springer.com/00266 。
BackgroundPlatelet-rich fibrin (PRF) has been applied in the clinical field for more than a decade, but largely in oral surgery and implant dentistry. Its utilization in plastic and reconstructive surgery is limited and lacking a comprehensive review. Hence, this article focuses on the various clinical applications of PRF pertaining to the plastic and reconstructive field through a systematic review.MethodsIn this review, articles describing the clinical application of PRF in plastic and reconstructive surgery were screened using predetermined inclusion and exclusion criteria. The articles were summarized and divided into groups based on the utilization of PRF. The effects and complications of PRF were analyzed and concluded.ResultsAmong the 634 articles searched, 7 articles describing 151 cases are eligible. PRF was applied on 116 (76.8%) wounds to facilitate tissue healing, and the complete wound closure rate was 91.4% (106/116). Otherwise, PRF was applied in 10 (6.6%) cases of zygomaticomaxillary fracture to reconstruct orbital floor defects and in 25 (16.6%) cases of facial autologous fat grafts to increase the fat retention rate successfully. There is no report of PRF-related complications.ConclusionsPRF could facilitate wound healing, including the healing of soft tissues and bony tissues, and facilitate fat survival rate. Further studies are needed to test the mechanism of PRF and expand its scope of application in plastic and reconstructive surgery.Level of Evidence IIIThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
DOI: 10.1007/s00266-007-9019-4
发表时间: 2008-01
影响因子: 2.4
作者:
Yoshimura K;Sato K;Aoi N;Kurita M;Hirohi T;Harii K
通讯作者: Harii K
使用组织工程成骨材料进行牙槽裂骨成形术:技术说明
DOI: --
发表时间: 2006
期刊: Int J Oral Maxillofac Surg 35
影响因子: --
作者:
Hibi H;Yamada Y;Ueda M;Endo Y
通讯作者: Endo Y