协同运动的管理方法:一个范围审查
Cédric Zubler1, Ankit Punreddy2, Danielle Mayorga-Young2
1Department of Plastic and Hand Surgery, Inselspital University Hospital Bern, University of Bern, Bern, Switzerland.
Facial plastic surgery : FPS
|April 11, 2024
概括
后面部突触的管理缺乏共识. 在获得更高质量的证据之前,建议采用个性化的多模式方法,将面部治疗,化疗和手术结合起来.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 整形外科 整形外科 整形外科
背景情况:
- 后面部突触 (PPFS) 显著影响患者的功能和心理社会.
- 虽然研究了协同运动预防,但已建立的PPFS的管理证据有限.
研究的目的:
- 审查当前关于已确立的后面部突触治疗选择的文献.
- 为PPFS提供现有管理策略的概述.
主要方法:
- 按照PRISMA 2020指南进行系统的文献审查.
- 搜索了MEDLINE (PubMed) 和Cochrane图书馆的相关研究.
- 包括36篇原始论文和2篇覆盖1,408名患者的元分析.
主要成果:
- 治疗方案包括化疗 (12项研究),面部治疗 (5项研究),手术 (10项研究) 和组合治疗 (9项研究).
- 研究设计,结果测量和缺乏对照组的显著异质性阻碍了对治疗的直接比较.
- 由于有限的高质量比较证据,对于PPFS的最佳治疗方法没有共识.
结论:
- 目前的证据没有为PPFS治疗建立共识.
- 建议采用个性化,多模式的方法,整合面部治疗,化疗和手术.
- 跨学科的团队管理对于解决这种复杂的情况至关重要,等待进一步的研究.
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