对13年内镜前额提升术经验的回顾。
A review of 13 years of experience with endoscopic forehead-lift.
作者信息
Papadopulos Nikolaos A, Eder Maximilian, Weigand Christian, Biemer Edgar, Kovacs Laszlo
机构信息
Department of Plastic Surgery and Hand Surgery, University Hospital rechts der Isar, Munich Technical University, Munich, Germany.
出版信息
Arch Facial Plast Surg. 2012 Sep-Oct;14(5):336-41. doi: 10.1001/archfacial.2012.43.
OBJECTIVE
To conduct objective quantitative and qualitative evaluations of the long-term result in endoscopic forehead-lift.
METHODS
Medical charts of 143 patients who underwent endoscopic forehead-lift between 1994 and 2007 were reviewed for postoperative complications and the duration of complaints. Patients received a questionnaire to evaluate satisfaction and social restriction after surgery. Objective photographic preoperative and postoperative eyebrow-to-eye distances in a relaxed position and during muscle contractions were obtained.
RESULTS
A total of 98 patients (69% response; mean follow-up, 38 months) showed high satisfaction (score, 7.1 of 10). In a relaxed position, mean midpupil-to-eyebrow elevation was 5.6 mm after surgery, with significant eyebrow symmetry between the left and right eyes (P < .05), and showed significant influence of time (P = .005) on persisting eyebrow elevation, with a decrease of almost 1 mm per year. Measurements during muscle contraction showed no relevant differences.
CONCLUSION
Endoscopic forehead-lift enables long-lasting results with highly satisfied patients.
目的
对内窥镜前额提升术的长期效果进行客观的定量和定性评估。
方法
回顾了1994年至2007年间接受内窥镜前额提升术的143例患者的病历，以了解术后并发症及不适持续时间。患者接受问卷调查，以评估术后满意度和社交限制情况。获取了患者术前及术后在放松状态和肌肉收缩时眉毛至眼睛距离的客观照片。
结果
共有98例患者（69%的回复率；平均随访38个月）表示高度满意（评分7.1分，满分10分）。在放松状态下，术后平均瞳孔中点至眉毛的提升高度为5.6毫米，左右眼眉毛对称性显著（P <.05），且时间对持续的眉毛提升有显著影响（P =.005），每年下降近1毫米。肌肉收缩时的测量结果无显著差异。
结论
内窥镜前额提升术能产生持久效果，患者满意度高。
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