Endoscopic Brow Lift Fixation With Mitek Suture Anchors: A 9-Year Experience of a New "Ideal" Technique
Endoscopic Brow Lift Fixation With Mitek Suture Anchors: A 9-Year Experience of a New "Ideal" Technique
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DOI：
10.1177/2292550318800504
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发表时间：
2019-05-01
期刊：
影响因子：
0.7
通讯作者：
Gupta, Subhas C.
中科院分区：
文献类型：
--
作者：
Adetayo, Oluwaseun A.;Wong, Wendy W.;Gupta, Subhas C.
目的：近年来，内窥镜技术已成为前额年轻化的微创方法，尽管内窥镜眉毛提升术的眉毛固定的具体需求和模式仍存在相当大的争议。理想的固定器械应提供不可触及的持久固定，并允许术后保留器械而无需取出。它还应该允许精确的术中调整对称性和矫正眉下垂。方法：作者描述了一种使用可吸收骨锚Mitek Microfix的内窥镜眉提升技术。对在学术实践中使用这种固定方法接受内窥镜眉提升术的患者进行了回顾性病历审查。评价的结局包括手术时间、再手术率、可触及性、固定器械持久性、与传统方法相比的增量成本、疗效和技术学习曲线。对并发症发生率进行了评估，并对当前固定方法的经济性和增量成本分析进行了审查。结果：在9年期间（2005-2014年），82例患者使用Mitek锚进行了单次内窥镜眉固定术。平均手术时间100分钟。无植入物触诊、脱发或其他术后并发症。两名患者在平均5.5个月后因颞上睑下垂接受了翻修术。结论：Mitek Microfix QuickAnchor可提供耐用、持久的固定，且器械不可触及。其技术上的易用性通过在住院外科医生的积极参与下实现的合理平均手术时间来证明。该器械操作方便、易于使用、完全留置，可提供持久固定，不会出现触诊或脱发。
Purpose: In recent years, the endoscopic technique has emerged as a minimally invasive approach to forehead rejuvenation, although the specific need for and mode of brow fixation for endoscopic brow lifts remain under considerable debate. An ideal fixation device should provide non-palpable long-lasting fixation and allow retention of the device post-operatively without the need for removal. It should also allow precise intraoperative adjustment for symmetry and correction of brow ptosis. Methods: The authors describe an endoscopic brow lift technique using an absorbable bone anchor, Mitek Microfix. A retrospective chart review was conducted in patients who underwent endoscopic brow lift procedures utilizing this fixation method at an academic practice. Outcomes evaluated included operative times, reoperation rates, palpability, fixation device permanence, incremental costs comparisons to conventional methods, efficacy, and technical learning curve. Complication rates were evaluated and the economic, incremental cost analysis of current fixation methods was reviewed. Results: Eighty-two patients underwent single-procedure endoscopic brow fixation using the Mitek anchor over a 9-year period (2005-2014). The mean operative time was 100 minutes. There were no cases of implant palpability, alopecia, or other postoperative complications. Two patients underwent revision secondary lifts after an average of 5.5 months for temporal ptosis. Conclusion: The Mitek Microfix QuickAnchor provides durable, long-lasting fixation without device palpability. Its technical ease of use is demonstrated by the reasonable mean operative time achieved with the active involvement of resident surgeons. This device is operator-friendly, easy to use, fully indwelling, and provides lasting fixation without the development of palpability or alopecia.