다양한 눈썹처짐 교정술에 따른 눈썹올림효과 분석
Clinical Outcomes of Browlift Using Various Methods
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목적: 눈썹처짐환자에서 다양한 눈꺼풀올림술을 시행한 후 수술법에 따른 눈썹올림의 효과와 장단점을 비교하고자 하였다. 대상과 방법: 눈썹처짐을 주소로 내원한 19명을 대상하여 직접눈썹올림술 6명 9안, 내시경올림술 6명 8안, 눈꺼풀경유 눈썹올림술 7명11안이 포함되었다. 평균 나이는 67.9 ± 9.7세, 평균 관찰 기간은 9.0 ± 3.8개월이며, 술전과 술후 2개월, 6개월 후 최종 관찰 시사진을 Image J Program을 이용하여 눈썹높이를 중간눈썹높이(brow to pupil distance, BPD), 안쪽(brow to medial canthus distance,BMCD), 가쪽(brow to lateral canthus distance, BLCD) 3군데에서 측정하였다. 결과: 전체 환자에서 수술 6개월 후 눈썹높이는 BPD 1.88 ± 0.99 mm, BMCD 1.06 ± 1.21 mm, BLCD 1.36 ± 1.17 mm가 상승하였다. 6개월 후 BPD를 보면 직접눈썹올림술 후 1.79 ± 1.29 mm, 내시경올림술 후 1.94 ± 0.80 mm, 눈꺼풀경유 눈썹올림술 후 1.90 ±0.94 mm 상승하여, 수술방법에 따른 통계학적인 차이는 없었다. 눈썹부위별로 보면 안쪽눈썹은 내시경올림술, 가쪽눈썹은 직접눈썹올림술 후 올림효과가 높았다. 결론: 직접눈썹올림술, 내시경올림술, 눈꺼풀경유 눈썹올림술 모두가 눈썹의 위치와 모양을 교정하는 효과적이고 안전한 눈썹올림 수술방법이며, 각 장·단점을 고려하여 적당한 환자선택이 중요하다. 추후 장기적 경과 관찰이 필요할 것으로 생각한다.
Abstract
Purpose: The present study investigated the outcomes of browlift using various surgical methods including direct browplasty, endoscopicbrowlift and transblepharoplasty browlift. Methods: Twenty-eight brow ptosis cases in 19 patients were treated in the present study. The mean patient age was 67.9 ± 9.7years, and the mean observation period was 9.0 ± 3.8 months. Nine cases were treated with direct browplasty, eight cases withendoscopic browlift and 11 cases with transblepharoplasty browlift. Photographs of patients were taken before surgery and twomonths, six months and on the final follow-up after surgery. The brow-to-pupil distance (BPD), brow-to-medial canthus distance(BMCD), and brow-to-lateral canthus distance (BLCD) were analyzed by the Image J Program. Results: BPD increased 1.88 ± 0.99 mm, BMCD increased 1.06 ± 1.21 mm and BLCD increased 1.36 ± 1.17 mm in all patientssix months after surgery. Regarding the change in BPD, direct browplasty increased 1.79 ± 1.29 mm, endoscopic browlift increased1.94 ± 0.80 mm and transblepharoplasty browlift increased 1.90 ± 0.94 mm without significant difference among thegroups on the final follow-up. In terms of brow shape, direct browplasty effectively elevated the lateral brow and endoscopicbrowlift effectively elevated the medial brow compared to other procedures. No significant complications were observed in anypatient. Conclusions: Browlift techniques such as direct browplasty, endoscopic browlift and transblepharoplasty browlift are safe and effectivesurgical methods to correct brow height and shape in patients with brow ptosis without any significant complications.
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