de Decker W, Conrad H G
Universitäts-Augenklinik Kiel, Abt. Orth- und Pleoptik.
Klin Monbl Augenheilkd. 1988 Dec;193(6):615-21. doi: 10.1055/s-2008-1050307.
By means of torsional shift operation, or "rotatory Kestenbaum procedure" - in which both ocular bulbs are rotated to the side to which the head is inclined - head malpostures can be eliminated or alleviated in three out of four cases. This applies both to the smaller group of patients with true nystagmus compensation as well as to the large group with "tilt" as a part-symptom of Lang's early-onset strabismus syndrome. The procedure for all four oblique muscles is described in detail, including the strategies for preventing side effects. The results of 98 operations are presented in tabular form. Additionally, the authors describe on the basis of case histories how to apply and modify the procedure when other typical, severe symptoms of early-onset strabismus syndrome require surgical correction. The discussion considers facts and hypotheses relating to the pathophysiological background.
通过扭转移位手术，即“旋转凯斯滕鲍姆手术”（将双眼球向头部倾斜的一侧旋转），四分之三的病例中头部异常姿势可得到消除或缓解。这适用于较小的真正眼球震颤代偿患者群体，以及以“倾斜”作为朗氏早发性斜视综合征部分症状的较大患者群体。详细描述了所有四条斜肌的手术过程，包括预防副作用的策略。以表格形式呈现了98例手术的结果。此外，作者根据病例记录描述了在早发性斜视综合征的其他典型严重症状需要手术矫正时如何应用和修改该手术。讨论考虑了与病理生理背景相关的事实和假设。
