Xiang Nan, Hu Wei-Kun, Li Bin, Liu Rong
Department of Ophthalmology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan 430023, Hubei Province, China.
Int J Ophthalmol. 2010;3(4):342-XXX. doi: 10.3980/j.issn.2222-3959.2010.04.15. Epub 2010 Dec 18.
To study the effect of clinical management of moderate-to-severe Marcus-Gunn syndrome (MGS) by anastomosis of levator and frontal muscles.
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.
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).
For moderate-to-severe MGS, unilateral anastomosis of levator and frontal muscles provides satisfied correction of jaw-winking and ptosis.
研究提上睑肌与额肌吻合术治疗中重度Marcus-Gunn综合征（MGS）的临床效果。
回顾性分析2000年至2007年在我院接受手术治疗的13例中重度MGS患者的病历资料。他们均在局部麻醉下接受了提上睑肌与额肌单侧吻合术。
术后随访时间为6至36个月，平均12个月。所有眼睑（100%）均完全消除了下颌瞬目现象，10只眼睑（76.9%）上睑下垂矫正良好，睑裂大小相等且外形对称，3只（23.1%）表现为残留轻度上睑下垂（<2mm）。
对于中重度MGS，提上睑肌与额肌单侧吻合术能满意地矫正下颌瞬目现象和上睑下垂。
