Wake Forest Baptist School of Medicine, Winston-Salem, North Carolina, USA.
JAMA Facial Plast Surg. 2013 Jul-Aug;15(4):263-7. doi: 10.1001/jamafacial.2013.924.
To improve preoperative counseling for patients considering endoscopic brow-lift (EBL).
To understand patient-reported outcomes, satisfaction, and recovery after EBL surgery to improve preoperative counseling.
DESIGN, SETTING, AND PARTICIPANTS: A retrospective telephone survey of 57 patients who had EBL or EBL with concurrent rhytidectomy to assess cosmetic and functional outcomes using 47 questions.
Questions evaluated outcomes, satisfaction, and recovery.
Fifty-three patients (93%) reported the procedure was successful, and 55 patients (96%) would recommend undergoing this procedure. Forty-two (74%) were incidentally told they looked younger; 37 patients (65%) were told they looked less tired. Forty-two patients (74%) reported increased confidence. Fifty-one patients (89%) required analgesics for less than 1 week, 44 patients (77%) reported scars as unnoticeable, 54 patients (95%) reported postoperative edema lasting less than 2 weeks, 16 patients (28%) reported alopecia at an incision site, and 36 patients (63%) had some numbness. In the 16 patients who reported headaches before surgery, 8 patients (50%) reported an improvement in either frequency or intensity. Patients who underwent rhytidectomy were significantly more likely to take 2 weeks or longer to return to normal activities. No differences were noted between rhytidectomy with EBL compared with EBL alone in analgesic use, edema, numbness, alopecia, and satisfaction.
Endoscopic brow-lift is well tolerated and most patients are happy with the outcome. Relying on patient-reported information helps us to better understand the surgical experience and to improve preoperative counseling.
为改善考虑内镜额部提升术（EBL）的患者的术前咨询。
了解患者对 EBL 手术后的美容和功能结果的报告，以改善术前咨询。
设计、地点和参与者：对 57 例接受 EBL 或 EBL 联合除皱术的患者进行回顾性电话调查，使用 47 个问题评估美容和功能结果。
问题评估结果、满意度和恢复情况。
53 例（93%）患者报告手术成功，55 例（96%）患者愿意接受该手术。42 例（74%）患者意外地被告知自己看起来更年轻；37 例（65%）患者被告知自己看起来不那么疲倦。42 例（74%）患者报告自信心增强。51 例（89%）患者需要止痛药少于 1 周，44 例（77%）患者报告疤痕不易察觉，54 例（95%）患者报告术后水肿持续少于 2 周，16 例（28%）患者报告切口处脱发，36 例（63%）患者有一定程度的麻木。在术前有头痛的 16 例患者中，8 例（50%）报告头痛的频率或强度有所改善。接受除皱术的患者恢复正常活动的时间明显长于 2 周。与单独行 EBL 相比，行 EBL 联合除皱术的患者在使用止痛药、水肿、麻木、脱发和满意度方面没有差异。
内镜额部提升术患者耐受性良好，大多数患者对结果满意。依靠患者报告的信息有助于我们更好地了解手术体验，并改善术前咨询。
4 级。
