未经批准:确定治疗MarcusGunn眨眼综合征(MGJWS)患者的基本原理。
UNASSIGNED:回顾性回顾38例MGJWS患者,转诊至一家高等教育机构。临床数据包括视力,眼运动性,下巴眨眼的一侧,有无上睑下垂,提升机功能,临床照片,和管理。由高级外科医生(FQL)对32例患者进行了定制手术。
UNASSIGNED:无下垂或轻度下垂的病例采用保守治疗。在中度上睑下垂和可忽略的综合症的情况下,提肌前移(LA)是成功的,但导致了更明显的综合症。严重上睑下垂患者的提肌切除术(LR)与上睑复发率高有关。在接受单或双侧提上肌切除术(LE)和双侧额肌悬吊(FS)或单侧额肌皮瓣(FF)的所有患者中,下垂均得到了充分纠正。所有接受LE治疗的患者的颌骨眨眼均消失,但在后期有三例复发。在相关的内斜视或下斜视的情况下,同时进行斜视手术。
UNASSIGNED:中度上眼睑可以用LA矫正,但是成功与提上肌功能无关,术后联合运动变得更加明显。在严重上睑下垂时,LR显示不可预测的结果。如果有严重的下垂和严重的联合运动,建议使用单侧或双侧LE和双侧FS;单侧FF是拒绝双侧治疗的患者的替代方案,因为美容结果通常比单侧FS后好。
UNASSIGNED: To identify a rationale for treatment of patients with Marcus Gunn jaw winking syndrome (MGJWS).
UNASSIGNED: Retrospective review of 38 consecutive patients with MGJWS referred to a single tertiary institution. Clinical data included visual acuity, ocular motility, side of jaw-wink, presence or absence of ptosis, levator function, clinical photographs, and management undertaken. Thirty-two patients were operated on with customized surgery by a senior surgeon (FQL).
UNASSIGNED: Cases with no ptosis or mild ptosis were managed conservatively. Levator advancement (LA) was successful in
case of moderate ptosis and negligible synkynesis but resulted in a more evident synkinesis. Levator resection (LR) in patients with severe ptosis was associated with high rate of ptosis recurrence. Ptosis was adequately corrected in all patients submitted to uni- or bilateral levator excision (LE) and bilateral frontalis suspension (FS) or unilateral frontalis flap (FF). Jaw winking resolved in all patients submitted to LE but recurred in three cases at a later stage. Strabismus surgery was performed simultaneously in
case of associated esotropia or hypotropia.
UNASSIGNED: Moderate ptosis can be corrected with LA, but success is not related to levator function and synkinesis becomes more evident postoperatively. In severe ptosis, LR showed unpredictable results. In
case of severe ptosis and severe synkinesis, uni- or bilateral LE and bilateral FS are recommended; unilateral FF is an alternative in patients who refuse bilateral treatment, as the cosmetic outcome is usually better than after unilateral FS.