0
Original Investigation |

Patient Outcomes, Satisfaction, and Improvement in Headaches After Endoscopic Brow-lift

Nicholas J. Panella, MD1; Jordan L. Wallin, MD1; Neal D. Goldman, MD2,3
[+] Author Affiliations
1Wake Forest Baptist School of Medicine, Winston-Salem, North Carolina
2Department of Otolaryngology–Head and Neck Surgery, Wake Forest Baptist School of Medicine, Winston-Salem, North Carolina
3currently in private practice, Boone, North Carolina
JAMA Facial Plast Surg. 2013;15(4):263-267. doi:10.1001/jamafacial.2013.924.
Text Size: A A A
Published online

Importance  To improve preoperative counseling for patients considering endoscopic brow-lift (EBL).

Objectives  To understand patient-reported outcomes, satisfaction, and recovery after EBL surgery to improve preoperative counseling.

Design, Setting, and Participants  A retrospective telephone survey of 57 patients who had EBL or EBL with concurrent rhytidectomy to assess cosmetic and functional outcomes using 47 questions.

Main Outcome and Measure  Questions evaluated outcomes, satisfaction, and recovery.

Results  Fifty-three patients (93%) reported the procedure was successful, and 55 patients (96%) would recommend undergoing this procedure. Forty-two (74%) were incidentally told they looked younger; 37 patients (65%) were told they looked less tired. Forty-two patients (74%) reported increased confidence. Fifty-one patients (89%) required analgesics for less than 1 week, 44 patients (77%) reported scars as unnoticeable, 54 patients (95%) reported postoperative edema lasting less than 2 weeks, 16 patients (28%) reported alopecia at an incision site, and 36 patients (63%) had some numbness. In the 16 patients who reported headaches before surgery, 8 patients (50%) reported an improvement in either frequency or intensity. Patients who underwent rhytidectomy were significantly more likely to take 2 weeks or longer to return to normal activities. No differences were noted between rhytidectomy with EBL compared with EBL alone in analgesic use, edema, numbness, alopecia, and satisfaction.

Conclusions and Relevance  Endoscopic brow-lift is well tolerated and most patients are happy with the outcome. Relying on patient-reported information helps us to better understand the surgical experience and to improve preoperative counseling.

Level of Evidence  4.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Place holder to copy figure label and caption
Figure 1.
Patient-Reported Pain Score

Representation of the mean (SD) pain score reported by patients by postoperative day.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Patient-Reported Outcomes

Depiction of patient-reported outcomes from those responding to our survey.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Scenario

The Rational Clinical Examination
Endoscopy is the accepted reference standard test for the patient with dyspepsia as it has both a...

brightcove.createExperiences();