Mokhtarzadeh Ali, Massry Guy G, Bitrian Elena, Harrison Andrew R
a Department of Ophthalmology and Visual Neurosciences , University of Minnesota , Minneapolis , Minnesota , USA.
b Department of Ophthalmology, Keck School of Medicine , University of Southern California , Los Angeles , California , USA.
Orbit. 2017 Apr;36(2):102-109. doi: 10.1080/01676830.2017.1279661. Epub 2017 Mar 7.
Browpexy surgery is a minimally invasive surgical adjunct to upper blepharoplasty. The traditional internal (IB) approach is well documented, while the newer external (EB) variant has only recently been described. To date, there is little quantitative data to evaluate the efficacy of either procedure, and no data to compare results between the two. We determine the efficacy of, and compare surgical results between, internal and external browpexy surgery in lifting the central and lateral brow. A 3.5-year retrospective review of patients undergoing internal and external browpexy surgery to assess the amount of central and lateral lift to the brow was performed. Patients undergoing blepharoplasty without brow lift were used as a control group. The Massachusetts Eye and Ear Infirmary FACE-gram program was used to quantify surgical outcome. Ninety-eight patients are included for review, with an average follow-up of 4-5 months. The average elevation in lateral/central brow position was 2.29 mm and 1.47 mm in the IB group, and 2.97 mm and 1.90 mm in the EB group. These were not statistically significant (p = 0.164, and p = 0.507, respectively). There was a statistically significant elevation in central and lateral brow height for both browpexy techniques and the control group (p < 0.001). External and internal browpexy surgery afford a similar, and non-statistically different, elevation of the central and lateral brow at 4-5 months. When compared to standalone blepharoplasty (control) the amount of lift for both procedures is statistically significant.
眉固定术是一种对上睑成形术起辅助作用的微创手术。传统的经内眦（IB）入路已有充分的文献记载，而较新的经外眦（EB）术式则是最近才被描述。迄今为止，几乎没有定量数据来评估这两种手术的疗效，也没有数据比较两者的结果。我们确定经内眦和经外眦眉固定术在提升眉中央和外侧方面的疗效，并比较两者的手术结果。对接受经内眦和经外眦眉固定术的患者进行了为期3.5年的回顾性研究，以评估眉中央和外侧提升的幅度。将未行提眉术的上睑成形术患者作为对照组。采用麻省眼耳医院的面部图像分析程序来量化手术效果。纳入98例患者进行评估，平均随访4 - 5个月。IB组眉外侧/中央位置的平均提升量分别为2.29 mm和1.47 mm，EB组为2.97 mm和1.90 mm。这些差异无统计学意义（分别为p = 0.164和p = 0.507）。两种眉固定术式和对照组的眉中央和外侧高度均有统计学意义的升高（p < 0.001）。经外眦和经内眦眉固定术在4 - 5个月时对眉中央和外侧的提升效果相似，且无统计学差异。与单纯上睑成形术（对照组）相比，两种手术的提升幅度均有统计学意义。
