Objective The purpose of this literature review and meta-analysis is to provide an overview of common complications(neurosensory disturbances,infection,hematoma,soft tissue ptosis,secondary surgery)of osteotomy geniop...Objective The purpose of this literature review and meta-analysis is to provide an overview of common complications(neurosensory disturbances,infection,hematoma,soft tissue ptosis,secondary surgery)of osteotomy genioplasty and their risk factors to help surgeons fully inform patients of the risks before surgery and minimize the risks associated with osteotomy genioplasty through timely prevention and management during the perioperative period.Methods Multiple electronic databases were retrieved for reviews concerning common complications of osteotomy genioplasty.Randomized clinical trials,controlled clinical trials and cohort studies were considered for inclusion.The extracted data were analyzed by Rev-Man 5.3 software in order to calculate the pooled incidence of these complications and evaluate the related risk factors systematically.Results Seventeen studies were included.The mean incidence for neurosensory disturbances[0.01,95%CI(0.00-0.02)],infection[0.01,95%CI(0.00-0.01)],hematoma[0.04,95%CI(0.01-0.07)],soft tissue ptosis[0.02,95%CI(0.00-0.05)]and secondary surgery[0.02,95%CI(0.00-0.03)]were reported.Regularly reported risk factors for complications were patient's age and gender,general condition,smoking habits and surgical technique.Conclusion In this study,a literature review and meta-analysis were performed to provide an overview of common complications of osteotomy genioplasty and their risk factors.This information may help the surgeon to minimize the risk of these complications and inform the patient about the risks of complications associated with osteotomy genioplasty.展开更多
文摘Objective The purpose of this literature review and meta-analysis is to provide an overview of common complications(neurosensory disturbances,infection,hematoma,soft tissue ptosis,secondary surgery)of osteotomy genioplasty and their risk factors to help surgeons fully inform patients of the risks before surgery and minimize the risks associated with osteotomy genioplasty through timely prevention and management during the perioperative period.Methods Multiple electronic databases were retrieved for reviews concerning common complications of osteotomy genioplasty.Randomized clinical trials,controlled clinical trials and cohort studies were considered for inclusion.The extracted data were analyzed by Rev-Man 5.3 software in order to calculate the pooled incidence of these complications and evaluate the related risk factors systematically.Results Seventeen studies were included.The mean incidence for neurosensory disturbances[0.01,95%CI(0.00-0.02)],infection[0.01,95%CI(0.00-0.01)],hematoma[0.04,95%CI(0.01-0.07)],soft tissue ptosis[0.02,95%CI(0.00-0.05)]and secondary surgery[0.02,95%CI(0.00-0.03)]were reported.Regularly reported risk factors for complications were patient's age and gender,general condition,smoking habits and surgical technique.Conclusion In this study,a literature review and meta-analysis were performed to provide an overview of common complications of osteotomy genioplasty and their risk factors.This information may help the surgeon to minimize the risk of these complications and inform the patient about the risks of complications associated with osteotomy genioplasty.
