Background: The eyebrow supraorbital keyhole approach could be considered a modified minimally invasive model for the classic pterional subfrontal approach in which an eyebrow incision and supraorbital mini craniotomy...Background: The eyebrow supraorbital keyhole approach could be considered a modified minimally invasive model for the classic pterional subfrontal approach in which an eyebrow incision and supraorbital mini craniotomy are performed for exposure of the anterior cranial fossa corridor. Methods: This study was retrospectively conducted on twenty four patients, age ranging from 20 to 65 years old, with anterior cranial fossa lesions who were meeting the eligibility criteria for eyebrow craniotomy in the period from August 2019 to January 2023. These patients were operated through eyebrow supraorbital approach in which microscopic endoscopic assisted technique were used. Extent of resection, clinical and cosmetic outcomes and complication incidence were assessed. Results: We included the twenty four patients who met inclusion criteria (17 females and 7 males) their ages ranged from 20 to 65 years. The most common pathology was meningioma in 19 patients. Two patients experienced supraorbital loss of sensation and only one patient experienced palsy of frontalis branch of facial nerve. Frontal sinus was breached in 3 patients with no patient experienced postoperative CSF leak. Total excision was accomplished for 23 patients. Four patients who had preoperative visual compromise, improvement of visual acuity and field defects was observed in 3 patients. No major intraoperative complications occurred. All patients filled cosmetic satisfaction questionnaire during their outpatient visits. For the eyebrow supraorbital approach, no incision related intolerable pain, no craniotomy defects or irregularities, no cosmetic complaints nor limitation of jaw opening were reported, and only minor symptoms in the form of limited eyebrow elevation, swelling and numbness in the forehead. Conclusions: The eyebrow craniotomy could be used safely as a more cosmetic and minimally invasive approach for a variety of anterior cranial fossa lesions. Endoscopic assistance has been found very useful for deeply seated lesions and hidden residuals with minimal brain retraction which couldn’t be accessed easily through microscopic field solely. Endoscopic assisted eyebrow supraorbital keyhole approach could be performed on a wider scale with great results but requires good selection of cases and more practice to expertise the needed skills.展开更多
Upper eyelid blepharoplasty is one of the most frequently performed surgeries by plastic surgeons worldwide. A prospective observational study was conducted to describe the anthropometric measurements of the upper eye...Upper eyelid blepharoplasty is one of the most frequently performed surgeries by plastic surgeons worldwide. A prospective observational study was conducted to describe the anthropometric measurements of the upper eyelid and eyebrow in a Mexican population. The researcher measured the anthropometry of the eyelids and eyebrows to establish the diagnosis and surgical plan according to the checklist created and applied by the plastic and reconstructive surgery service. In anatomical position with a caliper instrument, the marginal reflex distance (MRD1), the tarsal thickness, the length of the vertical and horizontal slit, and finally the distance at which the external canthus is located with respect to the internal canthus were measured in millimeters. For the anthropometry of the eyebrows, the distance from the eyebrows to the hairline, the position in millimeters of the orbital rim with respect to the eyebrow, and the angle of its apex were measured. A sample of 210 patients was obtained, of which 65 were male and 145 females, divided by age groups. It was observed that in the three age groups, females presented a vertical palpebral fissure with a higher mean than males. Similar is the case of tarsal thickness, in which the difference was significantly greater in the female of the three age groups. On the other hand, it was observed that the horizontal slit in males was higher than that of females, while the MDR1 was similar in both sexes. Finally, it was identified that in the group of 41 to 50 years old significant decreases are observed both in the vertical cleft, tarsal thickness and the position of the external canthus compared to the group of 20 to 30 years old, this is due to the aging process. When evaluating the anthropometrics of the eyebrows, a greater distance from the trichion to the eyebrow was observed in males than in females, in contrast to the position of the eyebrow with respect to the supraorbital rim and its apex, in which it was shown that in females there is a greater distance. In the other groups, the trends were maintained;however, a decrease was observed in the angle of the apex of the eyebrow and the RSO-eyebrow distance in males and females with advancing age, being more important in the group of 41 to 50 years. Systematized palpebral and periorbital anthropometric analysis is fundamental in the evaluation consultation. It allows us to make a precise diagnosis of the functional and aesthetic alterations that must be corrected during a surgical procedure, according to the concept of beauty of each culture or ethnicity.展开更多
BACKGROUND An intradermal nevus is a common skin tumour,and the classical method of removal has a risk of recurrence and scarring.It is a challenge for dermatologists to treat eyebrow intradermal nevi quickly and effi...BACKGROUND An intradermal nevus is a common skin tumour,and the classical method of removal has a risk of recurrence and scarring.It is a challenge for dermatologists to treat eyebrow intradermal nevi quickly and efficiently.This study focused on investigating the efficacy and safety of shearing combined with electrocautery and curettage in the treatment of eyebrow intradermal nevi.CASE SUMMARY We describe two adult patients with eyebrow intradermal nevi treated by shearing combined with electrocautery and curettage.Both patients were followed up regularly after surgery.At follow-up,no recurrence of eyebrow intradermal nevus and no obvious scars or hypopigmentation were found in either patient.The results indicated that shearing combined with electrocautery and curettage could remove eyebrow intradermal nevus without side effects and confirmed the efficacy and safety of this modality for treating these skin lesions.CONCLUSION Shearing combined with electrocautery and curettage has superior merits,including simple operation,good cosmetic effects,and high patient satisfaction,presenting great application potential for treating intracutaneous nevus.展开更多
Pilomatrixomas are benign tumors derived from hair stromal cells;however,their exact etiology is unknown.A 31-year-old woman presented with a subcutaneous mass located precisely above the left eyebrow,with shedding of...Pilomatrixomas are benign tumors derived from hair stromal cells;however,their exact etiology is unknown.A 31-year-old woman presented with a subcutaneous mass located precisely above the left eyebrow,with shedding of eyebrow hair around the mass,and the shedding area gradually expanded.Surgical removal of the mass failed to prevent eyebrow loss,and the entire left eyebrow shed 6 months postoperatively.Pathology and histology of the biopsy specimen revealed a pilomatrixoma comprising basaloid cells and ghost cells,with basaloid cells expressing high bcl-2 levels.Instead of apoptosis,the emergence and growth of pilomatrixoma-induced microinflammation around the hair follicles of the eyebrow may lead to eyebrow loss.展开更多
the development history of Chinese eyebrow makeup and modern daily eyebrow makeup methods were introduced. the current situation of Chinese eyebrow makeup market was emphatically discussed, and the reasons of its stag...the development history of Chinese eyebrow makeup and modern daily eyebrow makeup methods were introduced. the current situation of Chinese eyebrow makeup market was emphatically discussed, and the reasons of its staggering growth were analyzed. Finally, ways for extending the Chinese eyebrow makeup market were proposed. In a word, this article aims at providing informative guidance for the insiders within the relevant felds.展开更多
Do you know this old fishing boat?It is the bird ship(鸟船),also called"green eyebrow(绿眉毛)"。It is one of the four ancient ships in China.In ancient times,fishermen in Zhoushan went out to sea by this kin...Do you know this old fishing boat?It is the bird ship(鸟船),also called"green eyebrow(绿眉毛)"。It is one of the four ancient ships in China.In ancient times,fishermen in Zhoushan went out to sea by this kind of ship.展开更多
Background:Burn-related injury to the face involving the structures of the eyes,eyelids,eyelashes,and/or eyebrows could result in multiple reconstructive procedures to improve functional and cosmetic outcomes,and corr...Background:Burn-related injury to the face involving the structures of the eyes,eyelids,eyelashes,and/or eyebrows could result in multiple reconstructive procedures to improve functional and cosmetic outcomes,and correct complications following poor acute phase management.The objective of this article was to evaluate if nonsurgical or surgical interventions are best for acute management of ocular and/or peri-ocular burns.Methods:This systematic review and meta-analysis compared 272 surgical to 535 non-surgical interventions within 1 month of patients suffering burn-related injuries to 465 eyes,253 eyelids,90 eyelashes,and 0 eyebrows and evaluated associated outcomes and complications.The PubMed,Embase,Cochrane Library,Web of Science,and Scopus databases were systematically and independently searched.Patient and clinical characteristics,surgical and medical interventions,outcomes,and complications were recorded.Results:Eight of the 14,927 studies queried for this study were eligible for the systematic review and meta-analysis,with results from 33 of the possible 58 outcomes and complications using Preferred Reporting Items for Systematic Reviews and Meta-analysis(PRISMA)and Cochrane guidelines.Surgery was associated with standard mean differences(SMD)0.44 greater visual acuity on follow-up,SMD 1.63mm shorter epithelial defect diameters on follow-up,SMD 1.55 mm greater changes in epithelial diameters from baseline,SMD 1.17 mm^(2) smaller epithelial defect areas on follow-up,SMD 1.37 mm^(2) greater changes in epithelial defect areas from baseline,risk ratios(RR)1.22 greater numbers of healed epithelial defects,RR 11.17 more keratitis infections,and a 2.2 greater reduction in limbal ischemia compared to no surgical intervention.Conclusions:This systematic review and meta-analysis found that compared to non-surgical interventions,acute surgical interventions for ocular,eyelid,and/or eyelash burns were found to have greater visual acuity on follow-up,shorter epithelial defect diameters on follow-up,greater changes in epithelial diameters from baseline,smaller epithelial defect areas on follow-up,greater changes in epithelial defect areas from baseline,greater numbers of healed epithelial defects,more keratitis infections,and a greater reduction in limbal ischemia,possibility preventing the need of a future limbal stem cell transplantation.展开更多
Background Keyhole surgery has developed since the 1990s as a less invasive therapeutic strategy for intracranial lesions, initially for the treatment of intracranial aneurysms. The purpose of this study was to descri...Background Keyhole surgery has developed since the 1990s as a less invasive therapeutic strategy for intracranial lesions, initially for the treatment of intracranial aneurysms. The purpose of this study was to describe and evaluate the results of surgical treatment of lesions in the anterior fossa and sellar region via a supraorbital keyhole approach using eyebrow incisions. Methods Between April 1994 and July 2003, 54 patients with lesions in the anterior fossa and sellar region were operated on via the supraorbital keyhole approach. The surgical results were studied retrospectively and compared with that of patients with lesions at the same locations but treated via a conventional subfrontal approach.Results No significant difference in curative effect was found between the conventional subfrontal approach and the supraorbital keyhole approach. However, the supraorbital approach required a much smaller skin incision, causing less surgical trauma, while achieving excellent surgical exposure and good recovery. Conclusion The supraorbital keyhole approach using an eyebrow incision is safe, effective, and both suitable and convenient for treating lesions in the anterior fossa and sellar region, with almost no adverse consequences on the facial features of patients.展开更多
Aim: This paper focus is to describe and evaluate the authors' personal technique for a simplified transpalpebral eyebrow lift. Methods: We performed surgery in 179 patients (95% females and 5% males) between year...Aim: This paper focus is to describe and evaluate the authors' personal technique for a simplified transpalpebral eyebrow lift. Methods: We performed surgery in 179 patients (95% females and 5% males) between years of 2008 and 2009. Initially, a thorough assessment of brow stability and symmetry was performed. To achieve desirable aesthetic we agreed upon the consensus that the eyebrow lateral third should be 0.3 to 1 cm above the supraorbital rim in women and just above or at supraorbital rim in men. Hence the surgery consisted of the removal of excess skin, treatment for bags if they were present and a transpalpebral lateral eyebrow lift. Results: There were only 5 cases in which patients reported episodes of pain on the temporal undermined area related with the suture with the evidence of pain subsiding over time and disappearing all together within 3 months. No patients required revision surgery and no patients presented laghophtalmos or any eyelid closure difficulties. Conclusion: This paper presents a simplified version of an eyebrow lift technique that is easy to reproduce and effective.展开更多
There are a myriad of suture techniques available to close incisions of the brow and forehead,each with their own advantages and disadvantages.The ideal suture technique would provide excellent cosmetic results,offer ...There are a myriad of suture techniques available to close incisions of the brow and forehead,each with their own advantages and disadvantages.The ideal suture technique would provide excellent cosmetic results,offer expedient wound closure,optimize skin eversion and wound edge apposition,and provide excellent cosmetic results.The authors describe a new suture technique,the Running-X suture,a running horizontal mattress suture that has successfully been used by the senior author for many years to re-approximate surgical wounds of the brow and forehead in an expeditious and aesthetic manner.展开更多
文摘Background: The eyebrow supraorbital keyhole approach could be considered a modified minimally invasive model for the classic pterional subfrontal approach in which an eyebrow incision and supraorbital mini craniotomy are performed for exposure of the anterior cranial fossa corridor. Methods: This study was retrospectively conducted on twenty four patients, age ranging from 20 to 65 years old, with anterior cranial fossa lesions who were meeting the eligibility criteria for eyebrow craniotomy in the period from August 2019 to January 2023. These patients were operated through eyebrow supraorbital approach in which microscopic endoscopic assisted technique were used. Extent of resection, clinical and cosmetic outcomes and complication incidence were assessed. Results: We included the twenty four patients who met inclusion criteria (17 females and 7 males) their ages ranged from 20 to 65 years. The most common pathology was meningioma in 19 patients. Two patients experienced supraorbital loss of sensation and only one patient experienced palsy of frontalis branch of facial nerve. Frontal sinus was breached in 3 patients with no patient experienced postoperative CSF leak. Total excision was accomplished for 23 patients. Four patients who had preoperative visual compromise, improvement of visual acuity and field defects was observed in 3 patients. No major intraoperative complications occurred. All patients filled cosmetic satisfaction questionnaire during their outpatient visits. For the eyebrow supraorbital approach, no incision related intolerable pain, no craniotomy defects or irregularities, no cosmetic complaints nor limitation of jaw opening were reported, and only minor symptoms in the form of limited eyebrow elevation, swelling and numbness in the forehead. Conclusions: The eyebrow craniotomy could be used safely as a more cosmetic and minimally invasive approach for a variety of anterior cranial fossa lesions. Endoscopic assistance has been found very useful for deeply seated lesions and hidden residuals with minimal brain retraction which couldn’t be accessed easily through microscopic field solely. Endoscopic assisted eyebrow supraorbital keyhole approach could be performed on a wider scale with great results but requires good selection of cases and more practice to expertise the needed skills.
文摘Upper eyelid blepharoplasty is one of the most frequently performed surgeries by plastic surgeons worldwide. A prospective observational study was conducted to describe the anthropometric measurements of the upper eyelid and eyebrow in a Mexican population. The researcher measured the anthropometry of the eyelids and eyebrows to establish the diagnosis and surgical plan according to the checklist created and applied by the plastic and reconstructive surgery service. In anatomical position with a caliper instrument, the marginal reflex distance (MRD1), the tarsal thickness, the length of the vertical and horizontal slit, and finally the distance at which the external canthus is located with respect to the internal canthus were measured in millimeters. For the anthropometry of the eyebrows, the distance from the eyebrows to the hairline, the position in millimeters of the orbital rim with respect to the eyebrow, and the angle of its apex were measured. A sample of 210 patients was obtained, of which 65 were male and 145 females, divided by age groups. It was observed that in the three age groups, females presented a vertical palpebral fissure with a higher mean than males. Similar is the case of tarsal thickness, in which the difference was significantly greater in the female of the three age groups. On the other hand, it was observed that the horizontal slit in males was higher than that of females, while the MDR1 was similar in both sexes. Finally, it was identified that in the group of 41 to 50 years old significant decreases are observed both in the vertical cleft, tarsal thickness and the position of the external canthus compared to the group of 20 to 30 years old, this is due to the aging process. When evaluating the anthropometrics of the eyebrows, a greater distance from the trichion to the eyebrow was observed in males than in females, in contrast to the position of the eyebrow with respect to the supraorbital rim and its apex, in which it was shown that in females there is a greater distance. In the other groups, the trends were maintained;however, a decrease was observed in the angle of the apex of the eyebrow and the RSO-eyebrow distance in males and females with advancing age, being more important in the group of 41 to 50 years. Systematized palpebral and periorbital anthropometric analysis is fundamental in the evaluation consultation. It allows us to make a precise diagnosis of the functional and aesthetic alterations that must be corrected during a surgical procedure, according to the concept of beauty of each culture or ethnicity.
文摘BACKGROUND An intradermal nevus is a common skin tumour,and the classical method of removal has a risk of recurrence and scarring.It is a challenge for dermatologists to treat eyebrow intradermal nevi quickly and efficiently.This study focused on investigating the efficacy and safety of shearing combined with electrocautery and curettage in the treatment of eyebrow intradermal nevi.CASE SUMMARY We describe two adult patients with eyebrow intradermal nevi treated by shearing combined with electrocautery and curettage.Both patients were followed up regularly after surgery.At follow-up,no recurrence of eyebrow intradermal nevus and no obvious scars or hypopigmentation were found in either patient.The results indicated that shearing combined with electrocautery and curettage could remove eyebrow intradermal nevus without side effects and confirmed the efficacy and safety of this modality for treating these skin lesions.CONCLUSION Shearing combined with electrocautery and curettage has superior merits,including simple operation,good cosmetic effects,and high patient satisfaction,presenting great application potential for treating intracutaneous nevus.
基金supported by the Zhejiang Provincial Natural Science Foundation of China (grant nos. LQ22H150005 and LQ21H150005)
文摘Pilomatrixomas are benign tumors derived from hair stromal cells;however,their exact etiology is unknown.A 31-year-old woman presented with a subcutaneous mass located precisely above the left eyebrow,with shedding of eyebrow hair around the mass,and the shedding area gradually expanded.Surgical removal of the mass failed to prevent eyebrow loss,and the entire left eyebrow shed 6 months postoperatively.Pathology and histology of the biopsy specimen revealed a pilomatrixoma comprising basaloid cells and ghost cells,with basaloid cells expressing high bcl-2 levels.Instead of apoptosis,the emergence and growth of pilomatrixoma-induced microinflammation around the hair follicles of the eyebrow may lead to eyebrow loss.
文摘the development history of Chinese eyebrow makeup and modern daily eyebrow makeup methods were introduced. the current situation of Chinese eyebrow makeup market was emphatically discussed, and the reasons of its staggering growth were analyzed. Finally, ways for extending the Chinese eyebrow makeup market were proposed. In a word, this article aims at providing informative guidance for the insiders within the relevant felds.
文摘Do you know this old fishing boat?It is the bird ship(鸟船),also called"green eyebrow(绿眉毛)"。It is one of the four ancient ships in China.In ancient times,fishermen in Zhoushan went out to sea by this kind of ship.
文摘Background:Burn-related injury to the face involving the structures of the eyes,eyelids,eyelashes,and/or eyebrows could result in multiple reconstructive procedures to improve functional and cosmetic outcomes,and correct complications following poor acute phase management.The objective of this article was to evaluate if nonsurgical or surgical interventions are best for acute management of ocular and/or peri-ocular burns.Methods:This systematic review and meta-analysis compared 272 surgical to 535 non-surgical interventions within 1 month of patients suffering burn-related injuries to 465 eyes,253 eyelids,90 eyelashes,and 0 eyebrows and evaluated associated outcomes and complications.The PubMed,Embase,Cochrane Library,Web of Science,and Scopus databases were systematically and independently searched.Patient and clinical characteristics,surgical and medical interventions,outcomes,and complications were recorded.Results:Eight of the 14,927 studies queried for this study were eligible for the systematic review and meta-analysis,with results from 33 of the possible 58 outcomes and complications using Preferred Reporting Items for Systematic Reviews and Meta-analysis(PRISMA)and Cochrane guidelines.Surgery was associated with standard mean differences(SMD)0.44 greater visual acuity on follow-up,SMD 1.63mm shorter epithelial defect diameters on follow-up,SMD 1.55 mm greater changes in epithelial diameters from baseline,SMD 1.17 mm^(2) smaller epithelial defect areas on follow-up,SMD 1.37 mm^(2) greater changes in epithelial defect areas from baseline,risk ratios(RR)1.22 greater numbers of healed epithelial defects,RR 11.17 more keratitis infections,and a 2.2 greater reduction in limbal ischemia compared to no surgical intervention.Conclusions:This systematic review and meta-analysis found that compared to non-surgical interventions,acute surgical interventions for ocular,eyelid,and/or eyelash burns were found to have greater visual acuity on follow-up,shorter epithelial defect diameters on follow-up,greater changes in epithelial diameters from baseline,smaller epithelial defect areas on follow-up,greater changes in epithelial defect areas from baseline,greater numbers of healed epithelial defects,more keratitis infections,and a greater reduction in limbal ischemia,possibility preventing the need of a future limbal stem cell transplantation.
文摘Background Keyhole surgery has developed since the 1990s as a less invasive therapeutic strategy for intracranial lesions, initially for the treatment of intracranial aneurysms. The purpose of this study was to describe and evaluate the results of surgical treatment of lesions in the anterior fossa and sellar region via a supraorbital keyhole approach using eyebrow incisions. Methods Between April 1994 and July 2003, 54 patients with lesions in the anterior fossa and sellar region were operated on via the supraorbital keyhole approach. The surgical results were studied retrospectively and compared with that of patients with lesions at the same locations but treated via a conventional subfrontal approach.Results No significant difference in curative effect was found between the conventional subfrontal approach and the supraorbital keyhole approach. However, the supraorbital approach required a much smaller skin incision, causing less surgical trauma, while achieving excellent surgical exposure and good recovery. Conclusion The supraorbital keyhole approach using an eyebrow incision is safe, effective, and both suitable and convenient for treating lesions in the anterior fossa and sellar region, with almost no adverse consequences on the facial features of patients.
文摘Aim: This paper focus is to describe and evaluate the authors' personal technique for a simplified transpalpebral eyebrow lift. Methods: We performed surgery in 179 patients (95% females and 5% males) between years of 2008 and 2009. Initially, a thorough assessment of brow stability and symmetry was performed. To achieve desirable aesthetic we agreed upon the consensus that the eyebrow lateral third should be 0.3 to 1 cm above the supraorbital rim in women and just above or at supraorbital rim in men. Hence the surgery consisted of the removal of excess skin, treatment for bags if they were present and a transpalpebral lateral eyebrow lift. Results: There were only 5 cases in which patients reported episodes of pain on the temporal undermined area related with the suture with the evidence of pain subsiding over time and disappearing all together within 3 months. No patients required revision surgery and no patients presented laghophtalmos or any eyelid closure difficulties. Conclusion: This paper presents a simplified version of an eyebrow lift technique that is easy to reproduce and effective.
文摘There are a myriad of suture techniques available to close incisions of the brow and forehead,each with their own advantages and disadvantages.The ideal suture technique would provide excellent cosmetic results,offer expedient wound closure,optimize skin eversion and wound edge apposition,and provide excellent cosmetic results.The authors describe a new suture technique,the Running-X suture,a running horizontal mattress suture that has successfully been used by the senior author for many years to re-approximate surgical wounds of the brow and forehead in an expeditious and aesthetic manner.
