Stolovitch Chaim, Leibovitch Igal, Loewenstein Anat
Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Tel-Aviv University, Israel.
J Pediatr Ophthalmol Strabismus. 2002 Mar-Apr;39(2):90-3. doi: 10.3928/0191-3913-20020301-08.
To evaluate superior oblique tendon lengthening technique in the treatment of congenital Brown's Syndrome.
Retrospective evaluation of 8 patients with Brown's syndrome (ages 2.5 to 8 years) who underwent superior oblique split tendon elongation as the primary procedure.
The mean follow-up period was 35 months (range 18 to 72 months). Seven of 8 patients had complete resolution of the compensatory head posturing and downshoot in adduction, and achieved some ability to elevate the eye in adduction. One of the operated eyes required reoperation because head posture persisted and a tenectomy of the superior oblique tendon was performed with satisfactory results.
The superior oblique split tendon lengthening technique is proposed as a possible procedure of choice for the treatment of Brown's syndrome.
评估上斜肌腱延长术治疗先天性布朗综合征的效果。
回顾性分析8例（年龄2.5至8岁）接受上斜肌腱劈开延长术作为主要手术的布朗综合征患者。
平均随访期为35个月（范围18至72个月）。8例患者中有7例代偿性头位和内收时下转完全消失，并在内收时获得了一定的眼球上抬能力。1只手术眼因头位持续存在需要再次手术，行上斜肌腱切除术，效果满意。
上斜肌腱劈开延长术可作为治疗布朗综合征的一种可能的选择术式。
