Stärk N
Klin Monbl Augenheilkd. 1979 Jan;174(1):54-61.
The tenotomy or tenectomy of an overactive superior oblique produces a similar effect as an elongation of the tendon. Its efficiency cannot be compared with the tenotomy or myotomy of an overactive inferior oblique or rectus muscle. No discernible underaction or complete paralysis of the superior oblique are to be feared, if the surgical indication and technique are correct. We prefer the tenotomizing of the overactive superior oblique to the recession of its insertion. Commonly, but still not always, the overaction of the superior obliques is associated with an A syndrome. Besides, the tenotomy and tenectomy of the superior oblique may be useful in true Brown's syndrome and as an additional procedure in cases of paralysis of the two elevators of one eye, During the past four years this operation was done 32 times on 24 patients. In none of these cases an insufficiency of the superior oblique was produced.
对亢进的上斜肌进行肌腱切断术或切除术，所产生的效果与肌腱延长术相似。其效果无法与对亢进的下斜肌或直肌进行肌腱切断术或肌切开术相比较。如果手术指征和技术正确，不必担心上斜肌会出现明显的功能不足或完全麻痹。比起上斜肌附着点后徙术，我们更倾向于对亢进的上斜肌进行肌腱切断术。通常，但并非总是如此，上斜肌亢进与A综合征相关。此外，上斜肌肌腱切断术和切除术在真性布朗综合征中可能有用，并且在一眼的两条上直肌麻痹的病例中可作为辅助手术。在过去四年中，对24例患者进行了32次该手术。在这些病例中，无一例出现上斜肌功能不全。
