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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.

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

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