Citation:Xiang N,Hu WK,Li B,Liu R.Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles.Int J Ophthalmol 2010;3(4):342-345,doi:10.3980/j.issn.2222-3959.2010.04.15
Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles
  
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DOI:10.3980/j.issn.2222-3959.2010.04.15
Key Words:Marcus-Gunn syndrome  jaw-winking  ptosis  anastomosis
Fund Project:Independent Innovation Research Foundation of Huazhong University of Science and Technology, China(No. 2010JC010)
           
AuthorInstitution
Nan Xiang Department of Ophthalmology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan , Hubei Province, China
Wei-Kun Hu Department of Ophthalmology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan , Hubei Province, China
Bin Li Department of Ophthalmology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan , Hubei Province, China
Rong Liu Department of Ophthalmology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan , Hubei Province, China
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Abstract:
      AIM: To study the effect of clinical management of moderate-to-severe Marcus-Gunn syndrome (MGS) by anastomosis of levator and frontal muscles.

    METHODS: The medical records of 13 patients with moderate-to-severe MGS who underwent surgeries in our institute between 2000 and 2007 were reviewed retrospectively. They underwent unilateral anastomosis of levator and frontal muscles under local anesthesia.

    RESULTS: Postoperative follow-up periods ranged from 6 to 36 months, with an average of 12 months. All eyelids (100%) showed complete resolution of jaw-winking, ten eyelids (76.9%) had good correction of ptosis, with equal plapebral apertures and symmetrical contours, three (23.1%) showed residual mild ptosis (<2mm).

    CONCLUSION: For moderate-to-severe MGS, unilateral ana- stomosis of levator and frontal muscles provides satisfied correction of jaw-winking and ptosis.

    

PMC FullText Html:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3340743/
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