一石二鸟：一种治疗第三神经麻痹伴异常再生的手术方法。
Two birds, one stone: a surgical approach for third nerve palsy with aberrant regeneration.
机构信息
Department of Ophthalmology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
出版信息
Arq Bras Oftalmol. 2022 Sep-Oct;85(5):520-523. doi: 10.5935/0004-2749.20220065.
Abstract
Aberrant regeneration in third nerve palsies, linking medial rectus contraction to the levator palpebrae muscle, is a great opportunity for surgical planning to address both the ptosis and horizontal deviation in a single procedure. We report a case of severe ptosis associated with exotropia that was successfully corrected with a single horizontal strabismus surgery owing to aberrant regeneration and discuss the basis underlying the surgical planning.
摘要
第三神经麻痹时内侧直肌的反常再生与提上睑肌相连，为手术规划提供了很好的机会，可以在单次手术中同时解决上睑下垂和水平斜视。我们报告了一例严重的上睑下垂伴外斜视病例，由于反常再生，该患者通过单次水平斜视手术成功矫正，并讨论了手术规划的基础。
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本文引用的文献
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Contralateral Surgery for the Treatment of Third Nerve Palsy with Aberrant Regeneration.
Am J Ophthalmol. 2021 Feb;222:166-173. doi: 10.1016/j.ajo.2020.07.044. Epub 2020 Aug 7.
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