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[重症睑痉挛的外科治疗]

[Surgical therapy of blepharospasmus gravis].

作者信息

Behbehani A A

机构信息

Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.

出版信息

Laryngorhinootologie. 1989 Jan;68(1):19-22. doi: 10.1055/s-2007-998278.

DOI:10.1055/s-2007-998278
PMID:2915588
Abstract

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.

摘要

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。

相似文献

1
[Surgical therapy of blepharospasmus gravis].[重症睑痉挛的外科治疗]
Laryngorhinootologie. 1989 Jan;68(1):19-22. doi: 10.1055/s-2007-998278.
2
[The disease picture of severe blepharospasm, the cause and a new kind of treatment with long-term results].[重度睑痉挛的疾病表现、病因及一种具有长期疗效的新型治疗方法]
Klin Monbl Augenheilkd. 1987 Mar;190(3):207-12. doi: 10.1055/s-2008-1050360.
3
[Modern surgical treatment of severe blepharospasm with long-term results].
Fortschr Ophthalmol. 1987;84(1):70-1.
4
[Long-term results of surgical therapy of hemifacial spasm and blepharospasm (author's transl)].
HNO. 1979 Feb;27(2):54-7.
5
Surgical therapy for blepharospasm.眼睑痉挛的手术治疗
Adv Neurol. 1983;37:215-24.
6
Management of blepharospasm.眼睑痉挛的管理
Trans Am Ophthalmol Soc. 1985;83:367-86.
7
Essential blepharospasm.原发性睑痉挛
Trans Ophthalmol Soc U K (1962). 1975 Jul;95(2):250-3.
8
[Clinical and therapeutic aspects of essential blepharospasm].[特发性眼睑痉挛的临床与治疗方面]
Nervenarzt. 1989 Jul;60(7):401-6.
9
Blepharospasm: a surgical procedure for therapy.
Ophthalmic Surg. 1981 Nov;12(11):823-9.
10
Frontalis suspension for essential blepharospasm unresponsive to botulinum toxin therapy. First results.肉毒杆菌毒素治疗无效的特发性睑痉挛的额肌悬吊术。初步结果。
Ger J Ophthalmol. 1993 Nov;2(6):426-8.