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提上睑肌切除术治疗 Marcus-Gunn 下颌瞬目综合征伴上睑下垂的长期手术效果。

Long-term surgical outcomes of levator resection in patients with Marcus-Gunn jaw-winking ptosis.

机构信息

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Orbital Oculoplastic Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

出版信息

Orbit. 2022 Apr;41(2):211-215. doi: 10.1080/01676830.2021.1872089. Epub 2021 Jan 11.

DOI:10.1080/01676830.2021.1872089
PMID:33430670
Abstract

PURPOSE

To report long-term surgical outcomes of a series of MGJWS patients with moderate ptosis who underwent levator resection.

MATERIALS AND METHODS

A retrospective review of medical records of 10 MGJWS patients with moderate ptosis who underwent levator resection was performed in two major eye centers in Riyadh, Saudi Arabia from January 1987 to December 2019. Clinical features, pre-operative and post-operative data of the 10 patients were recorded.

OUTCOME MEASURES

Long-term upper eyelid position.

RESULTS

The mean patient age at presentation was 5.4 years. Seven patients were female and three were male. All patients had moderate ptosis with marginal reflex distance ranged from 1 to 2 mm. The mean age at surgery was 9.5 years. After initial good ptosis correction for all patients, seven of them had a recurrence of ptosis several months after levator resection.

CONCLUSIONS

Levator resection in MGJWS patients with moderate ptosis and good levator function is associated with a high rate of ptosis recurrence and less predictable surgical results.

摘要

目的

报告一组接受提上睑肌切除术的中度上睑下垂的 MGJWS 患者的长期手术结果。

材料和方法

对沙特阿拉伯利雅得的两个主要眼科中心 1987 年 1 月至 2019 年 12 月期间接受提上睑肌切除术的 10 例 MGJWS 中度上睑下垂患者的病历进行回顾性分析。记录了 10 例患者的临床特征、术前和术后数据。

结局指标

长期上睑位置。

结果

患者就诊时的平均年龄为 5.4 岁。7 例为女性,3 例为男性。所有患者均有中度上睑下垂,边缘反射距离为 1 至 2 毫米。手术平均年龄为 9.5 岁。在所有患者最初获得良好的上睑下垂矫正后,7 例患者在提上睑肌切除术后数月出现上睑下垂复发。

结论

MGJWS 患者中度上睑下垂且提上睑肌功能良好时行提上睑肌切除术,上睑下垂复发率高,手术结果不可预测。

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