CO2 laser treatment for scars after cleft lip surgery: a systematic review and meta-analysis
Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO 2 laser on postoperative cleft lip scar treatment. Methods A systematic review was performed and reported according to Prefer...
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| Published in | BMC oral health Vol. 24; no. 1; pp. 1 - 10 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BioMed Central
27.11.2024
BioMed Central Ltd BMC |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1472-6831 1472-6831 |
| DOI | 10.1186/s12903-024-05205-6 |
Cover
| Abstract | Background
Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO
2
laser on postoperative cleft lip scar treatment.
Methods
A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias.
Results
Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO
2
laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54–8.23; Five studies with 255 participants; Low evidentiary certainty, I
2
= 99.4%).
Conclusions
Patients treated with CO
2
laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages.
Trial registration
identifier CRD42023397042 (18/02/2023) [
https://www.crd.york.ac.uk/prospero/
]. |
|---|---|
| AbstractList | Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO.sub.2 laser on postoperative cleft lip scar treatment. A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias. Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO.sub.2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54-8.23; Five studies with 255 participants; Low evidentiary certainty, I.sup.2 = 99.4%). Trial registration Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO2 laser on postoperative cleft lip scar treatment.BACKGROUNDCurrent studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO2 laser on postoperative cleft lip scar treatment.A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias.METHODSA systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias.Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54-8.23; Five studies with 255 participants; Low evidentiary certainty, I2 = 99.4%).RESULTSFive studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54-8.23; Five studies with 255 participants; Low evidentiary certainty, I2 = 99.4%).Patients treated with CO2 laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages.CONCLUSIONSPatients treated with CO2 laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages.identifier CRD42023397042 (18/02/2023) [ https://www.crd.york.ac.uk/prospero/ ].TRIAL REGISTRATIONidentifier CRD42023397042 (18/02/2023) [ https://www.crd.york.ac.uk/prospero/ ]. BackgroundCurrent studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO2 laser on postoperative cleft lip scar treatment.MethodsA systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias.ResultsFive studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54–8.23; Five studies with 255 participants; Low evidentiary certainty, I2 = 99.4%).ConclusionsPatients treated with CO2 laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages.Trial registrationidentifier CRD42023397042 (18/02/2023) [https://www.crd.york.ac.uk/prospero/]. Abstract Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO2 laser on postoperative cleft lip scar treatment. Methods A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias. Results Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54–8.23; Five studies with 255 participants; Low evidentiary certainty, I2 = 99.4%). Conclusions Patients treated with CO2 laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages. Trial registration identifier CRD42023397042 (18/02/2023) [ https://www.crd.york.ac.uk/prospero/ ]. Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO 2 laser on postoperative cleft lip scar treatment. Methods A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias. Results Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO 2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54–8.23; Five studies with 255 participants; Low evidentiary certainty, I 2 = 99.4%). Conclusions Patients treated with CO 2 laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages. Trial registration identifier CRD42023397042 (18/02/2023) [ https://www.crd.york.ac.uk/prospero/ ]. Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect of CO.sub.2 laser on postoperative cleft lip scar treatment. Methods A systematic review was performed and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We searched five electronic databases (EMBASE, PubMed, Web of Science, Cochrane Library and CNKI, from their inceptions until August 8, 2023) and independently assessed the methodological quality and bias risk of the included studies by two investigators using the Cochrane Handbook for Systematic Reviews. Quality assessment of the certainty of evidence was performed based on the Grading of Recommendations Assessment, Development, and Evaluation guidelines. Weighted mean difference of Vancouver Scar Scale were calculated to conduct meta-analysis by Stata statistical software version 14. We also estimated the pool sensitivity as well as testing the possibility of publication bias. Results Five studies were included in this meta-analysis involving 255 subjects. Meta-analysis showed that compared with the control group, CO.sub.2 laser was more effective in treating post-cleft lip scars (WMD = 4.39, 95%CI = 0.54-8.23; Five studies with 255 participants; Low evidentiary certainty, I.sup.2 = 99.4%). Conclusions Patients treated with CO.sub.2 laser therapy for postoperative cleft lip scar treatment tend to have a significant therapeutic effect especially in the early stages. Trial registration identifier CRD42023397042 (18/02/2023) [ Keywords: Laser, Cleft lip, Scar, Systematic review, Meta-analysis |
| ArticleNumber | 1443 |
| Audience | Academic |
| Author | Pang, Xuefei Cai, Ming Zhan, Zongli Chi, Haoshu Yu, Zuyin |
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| Keywords | Systematic review Cleft lip Scar Laser Meta-analysis |
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Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the... Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the... Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the therapeutic effect... BackgroundCurrent studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the... Abstract Background Current studies are controversial on the optimal treatment of postoperative scar treatment by cleft lip. Our objective is to elucidate the... |
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| SubjectTerms | Analysis Carbon dioxide Care and treatment Cleft lip Cleft lip/palate Dentistry Diagnosis Genetic aspects Laser Lasers Lasers in surgery Medical care, Cost of Medicine Mental health Meta-analysis Methods Oral and Maxillofacial Surgery Patient compliance Patient outcomes Patient satisfaction Quality control Scar Scars Sensitivity analysis Skin Surgery Systematic review Wound healing |
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| Title | CO2 laser treatment for scars after cleft lip surgery: a systematic review and meta-analysis |
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