Georgescu Dan, Anderson Richard L, McCann John D
Center for Facial Appearances, Salt Lake City, Utah, USA.
Facial Plast Surg. 2010 Aug;26(3):186-92. doi: 10.1055/s-0030-1254328. Epub 2010 Jun 3.
This study evaluates the effectiveness of five surgical techniques for brow ptosis repair including internal brow release (IBR), internal brow release with brow pexy (IBR + BP), internal brow release with corrugator and depressor supercilii removal (IBR + CDR), direct brow-lift (DB), and endoscopic brow-lift (EB). This is a retrospective study of 120 patients in which the preoperative and postoperative position of the medial, central, and lateral brow on both sides was measured. The brow was elevated 1.16 +/- 0.05 mm by IBR, 1.74 +/- 0.05 mm by IBR + BP, and 2.52 +/- 0.06 mm by IBR + CDR. IBR + BP was more effective than IBR in elevating the lateral brow ( P < 0.05). Removal of the medial brow depressors resulted in greater elevation of the medial and central brow than could be achieved with IBR or IBR + BP alone ( P < 0.01). EB resulted in the greatest amplitude of brow elevation (3.44 +/- 0.06 mm). Eyebrow-lifting surgery performed via the upper eyelid blepharoplasty incision prevents the lowering of brow position caused by blepharoplasty surgery alone. Brow pexy sutures are useful in enhancing elevation of the lateral brow, and removal of the medial brow depressors is useful in raising the medial and central brow.
本研究评估了五种眉下垂修复手术技术的有效性，包括内眉松解术（IBR）、内眉松解联合眉固定术（IBR + BP）、内眉松解联合皱眉肌和降眉肌切除术（IBR + CDR）、直接眉提升术（DB）和内镜眉提升术（EB）。这是一项对120例患者的回顾性研究，测量了双侧眉内侧、中央和外侧术前和术后的位置。IBR使眉提升1.16±0.05mm，IBR + BP使眉提升1.74±0.05mm，IBR + CDR使眉提升2.52±0.06mm。IBR + BP在提升外侧眉方面比IBR更有效（P < 0.05）。切除眉内侧降肌导致眉内侧和中央提升幅度大于单独使用IBR或IBR + BP所能达到的幅度（P < 0.01）。EB导致眉提升幅度最大（3.44±0.06mm）。经上睑成形术切口进行的眉提升手术可防止仅由睑成形术导致的眉位置降低。眉固定缝线有助于增强外侧眉的提升，切除眉内侧降肌有助于提升眉内侧和中央。
