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用于治疗Marcus Gunn 下颌瞬目现象的手术干预:一项系统评价

Surgical Interventions for Management of Marcus Gunn Jaw-Winking Phenomenon: A Systematic Review.

作者信息

Musa Adham M, AlKayyat Ahmad, Alrawi Shadan, Atallah Omer W, Atoui Ali, Qamhieh Ibrahim, Ghawanmeh Eman M

机构信息

College of Literature, Science, and the Arts, University of Michigan, Ann Arbor, USA.

School of Medicine, University of Jordan, Amman, JOR.

出版信息

Cureus. 2025 Apr 17;17(4):e82438. doi: 10.7759/cureus.82438. eCollection 2025 Apr.

DOI:10.7759/cureus.82438
PMID:40248446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12005120/
Abstract

Marcus Gunn jaw-winking syndrome (MGJWS) is a congenital synkinetic ptosis characterized by involuntary eyelid movement with jaw motion. Various surgical interventions, including levator excision and frontalis suspension, have been employed to improve functional and aesthetic outcomes. However, the optimal approach remains debated due to variable success rates and recurrence risks. This study aims to systematically review the effectiveness of different interventions for MGJWS. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), analyzing studies on surgical interventions for MGJWS. Predefined inclusion and exclusion criteria were used. Surgical intervention was found to be effective for the management of MGJWS, but long-term follow-up and additional clinical data are needed to determine optimal techniques and minimize the recurrence risks of the phenomenon.

摘要

马库斯·冈恩下颌瞬目综合征(MGJWS)是一种先天性联合性上睑下垂,其特征为随着下颌运动出现不自主的眼睑运动。包括提上睑肌切除术和额肌悬吊术在内的各种手术干预措施已被用于改善功能和美观效果。然而,由于成功率和复发风险各不相同,最佳方法仍存在争议。本研究旨在系统评价不同干预措施治疗MGJWS的有效性。按照系统评价和Meta分析的首选报告项目(PRISMA)进行了一项系统评价,分析了关于MGJWS手术干预的研究。使用了预先定义的纳入和排除标准。发现手术干预对MGJWS的治疗有效,但需要长期随访和更多临床数据来确定最佳技术并将该现象的复发风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/111f/12005120/4c13adc7b078/cureus-0017-00000082438-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/111f/12005120/4c13adc7b078/cureus-0017-00000082438-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/111f/12005120/4c13adc7b078/cureus-0017-00000082438-i01.jpg

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本文引用的文献

1
Marcus-Gunn jaw winking syndrome: case series study and management algorithm.Marcus-Gunn 下颌瞬目综合征:病例系列研究与管理算法。
Orbit. 2024 Feb;43(1):33-40. doi: 10.1080/01676830.2023.2182330. Epub 2023 Mar 1.
2
Surgical Outcomes of Unilateral Marcus Gunn Jaw Winking Ptosis Correction: A Novel Whitnall's Ligament Approach.单侧 Marcus Gunn 眨眼型下颌下垂矫正手术的结果:一种新的 Whitnall 韧带入路。
Korean J Ophthalmol. 2021 Feb;35(1):18-25. doi: 10.3341/kjo.2020.0114. Epub 2020 Dec 11.
3
Unilateral Frontalis Suspension With Silicone Sling Without Levator Extirpation in Congenital Ptosis With Marcus Gunn Jaw Winking Synkinesis.
单侧额肌悬吊术联合硅胶吊带在Marcus Gunn 型动眼神经麻痹性上睑下垂伴眨眼联带运动中的应用
Ophthalmic Plast Reconstr Surg. 2020 Jul/Aug;36(4):390-394. doi: 10.1097/IOP.0000000000001566.
4
Unilateral Levator Aponeurosis Excision for Marcus Gunn Syndrome and Risk Factors of Residual Jaw Winking.单侧提上睑肌腱膜切除术治疗Marcus Gunn综合征及残留颌动瞬目现象的危险因素
J Ophthalmol. 2019 Nov 4;2019:2058047. doi: 10.1155/2019/2058047. eCollection 2019.
5
Surgical Outcomes in Cases of Marcus-Gunn Jaw-Winking Phenomenon.马库斯-冈恩下颌瞬目现象病例的手术结果
Kathmandu Univ Med J (KUMJ). 2015 Jan-Mar;13(49):34-7. doi: 10.3126/kumj.v13i1.13750.
6
Modified technique of levator plication for the correction of Marcus Gunn jaw-winking ptosis: a case series.改良提上睑肌折叠术矫正Marcus Gunn下颌瞬目综合征性上睑下垂:病例系列报道
Int Ophthalmol. 2015 Aug;35(4):587-91. doi: 10.1007/s10792-015-0060-z. Epub 2015 Mar 27.
7
Incidence of bilateral Marcus Gunn jaw-wink.Marcus Gunn 下颌瞬目现象的双侧发病率。
Ophthalmic Plast Reconstr Surg. 2014 May-Jun;30(3):e54-5. doi: 10.1097/IOP.0b013e31829bb405.
8
Management of morderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles.通过提上睑肌与额肌吻合术治疗中重度Marcus-Gunn综合征
Int J Ophthalmol. 2010;3(4):342-XXX. doi: 10.3980/j.issn.2222-3959.2010.04.15. Epub 2010 Dec 18.
9
Bilateral Marcus Gunn jaw winking synkinesis with monocular elevation deficiency: a case report and literature review.伴有单眼上睑下垂的双侧马库斯·冈恩下颌瞬目综合征:一例报告及文献综述
Int Ophthalmol. 2012 Apr;32(2):199-201. doi: 10.1007/s10792-012-9538-0. Epub 2012 Feb 19.
10
Marcus Gunn jaw-winking synkinesis: clinical features and management.Marcus Gunn 下颌眨眼联带运动:临床特征与治疗。
Ophthalmology. 2010 Jul;117(7):1447-52. doi: 10.1016/j.ophtha.2009.11.014. Epub 2010 Feb 25.