Şibar Serhat, Dikmen Asiye Uğraş, Erdal Ayhan Işık
Aesthet Surg J. 2025 Feb 18;45(3):232-240. doi: 10.1093/asj/sjae225.
Long-term stability and recurrent ptosis are among the most debated topics in endoscopic brow lifts. Although there are many publications on endoscopic brow lifts, more research is needed on long-term brow elevation and stability. In this systematic review we aimed to evaluate the amount of elevation and stability achieved by endoscopic brow lifts in the long term. To evaluate the long-term outcomes of endoscopic brow lifts, the databases PubMed, Web of Science, Scopus, and Google Scholar were searched with the keywords "endoscopic brow lift," "endoscopic forehead lift," "forehead lift," "foreheadplasty," "brow lift," "endoscopic brow fixation," and "brow fixation." Studies published between September 1994 and May 2024, including isolated or combined endoscopic brow lift surgeries, were included. In total, 5324 articles were screened, and 85 full texts were reviewed. Of these studies, 12 (14.1%) were found suitable for systematic review and meta-analysis. Brow elevation values were evaluated separately by medial, central, and lateral parts. The pooled effect sizes for medial, central, and lateral brow elevations were found to be 3.25 mm (2.44-4.06), 3.86 mm (2.93-4.8), and 4.35 mm (3.06-5.64), respectively. This study is the first meta-analysis to present the average elevation values that can be achieved in the long term by endoscopic brow lifts. These data guide a better understanding of patient candidates and endoscopic brow lift technique. Sharing more objective data over the long term about different fixation methods will contribute to a better understanding of the criteria related to indications for this surgery.
长期稳定性和复发性上睑下垂是内镜下眉提升术中争议最大的话题之一。尽管有许多关于内镜下眉提升术的出版物，但仍需要更多关于长期眉抬高和稳定性的研究。在这项系统评价中，我们旨在评估内镜下眉提升术长期实现的抬高量和稳定性。为了评估内镜下眉提升术的长期效果，我们在PubMed、科学网、Scopus和谷歌学术数据库中搜索了关键词“内镜下眉提升术”、“内镜下额部提升术”、“额部提升术”、“额部整形术”、“眉提升术”、“内镜下眉固定术”和“眉固定术”。纳入了1994年9月至2024年5月发表的研究，包括单纯或联合内镜下眉提升手术。总共筛选了5324篇文章，并对85篇全文进行了审查。在这些研究中，发现12项（14.1%）适合进行系统评价和荟萃分析。眉抬高值按内侧、中央和外侧部分分别评估。内侧、中央和外侧眉抬高的合并效应量分别为3.25 mm（2.44 - 4.06）、3.86 mm（2.93 - 4.8）和4.35 mm（3.06 - 5.64）。本研究是第一项荟萃分析，展示了内镜下眉提升术长期可实现的平均抬高值。这些数据有助于更好地了解候选患者和内镜下眉提升技术。长期分享更多关于不同固定方法的客观数据将有助于更好地理解该手术适应症相关标准。
