Behbehani A A
Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
Laryngorhinootologie. 1989 Jan;68(1):19-22. doi: 10.1055/s-2007-998278.
Blepharospasm is a rather rare disease characterised by cramps of the orbicularis oculi muscle. The quality of life of patients suffering from this illness is often severely reduced. The therapeutic approaches reported in the literature have so far not been satisfactory in most cases. In the mid'-seventies a new operative technique has been introduced by Walser and modified by Behbehani. This procedure consists of the dissection of the zygomatico-temporal branch of the facial nerve. In the present paper the author reports on his own experience with this special method as well as the long-term results in 19 patients that have been followed up over a period of 3 months up to 14 years after operation. Surgery was carried out bilaterally in 19 cases, while 5 patients were operated on one side only. After resection of the nerve, blepharoplasty of the upper lid was performed. The therapeutic value of the technique is discussed and compared with the appropriate literature.
睑痉挛是一种较为罕见的疾病,其特征为眼轮匝肌痉挛。患有这种疾病的患者的生活质量常常会严重下降。迄今为止,文献中报道的治疗方法在大多数情况下都不尽人意。在七十年代中期,瓦尔泽引入了一种新的手术技术,并由贝赫贝哈尼进行了改良。该手术包括对面神经颧颞支的解剖。在本文中,作者报告了自己使用这种特殊方法的经验以及19例患者的长期结果,这些患者在手术后3个月至14年的时间里接受了随访。19例患者双侧进行了手术,而5例患者仅一侧接受了手术。切除神经后,对上睑进行了眼睑成形术。讨论了该技术的治疗价值并与相关文献进行了比较。