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眼睑痉挛

Blepharospasm.

作者信息

Callahan A

出版信息

Ann Plast Surg. 1979 Mar;2(3):266-8.

PMID:539757
Abstract

Blepharospasm is a cranial nerve dysfunction in which involuntary and uncontrollable forcible lid closure occurs. Surgical treatment is far from ideal, but the condition can be improved by sectioning the branches of the facial nerve plexus which supply the orbicularis oculi, the frontalis and corrugator muscles, and the midfacial muscles. Not all patients with blepharospasm should be operated upon, since they may expect too much or may enjoy the attention their invalidism has given them. Ectropion of one or both lower lids may occur, and the most severe of all complications is recurrence. This may happen despite a careful microscopic search for the nerve fibers and their division and avulsion. Blepharospasm patients often require considerable psychological support.

摘要

眼睑痉挛是一种颅神经功能障碍,表现为眼睑不自主且无法控制地强力闭合。手术治疗远非理想,但通过切断支配眼轮匝肌、额肌、皱眉肌及面中部肌肉的面神经丛分支,病情可得到改善。并非所有眼睑痉挛患者都适合手术,因为他们可能期望过高,或者享受因疾病而获得的关注。可能会出现一侧或双侧下睑外翻,最严重的并发症是复发。即便在显微镜下仔细搜寻神经纤维并进行切断和撕脱,仍可能发生复发。眼睑痉挛患者通常需要相当多的心理支持。

相似文献

1
Blepharospasm.眼睑痉挛
Ann Plast Surg. 1979 Mar;2(3):266-8.
2
[Clinical and therapeutic aspects of essential blepharospasm].[特发性眼睑痉挛的临床与治疗方面]
Nervenarzt. 1989 Jul;60(7):401-6.
3
[Treatment of blepharospasm: injection of botulinum toxin or surgical treatment?].[眼睑痉挛的治疗:肉毒杆菌毒素注射还是手术治疗?]
Annee Ther Clin Ophtalmol. 1987;38:207-12.
4
Frontalis suspension for essential blepharospasm unresponsive to botulinum toxin therapy. First results.肉毒杆菌毒素治疗无效的特发性睑痉挛的额肌悬吊术。初步结果。
Ger J Ophthalmol. 1993 Nov;2(6):426-8.
5
Blepharospasm.眼睑痉挛
J Fla Med Assoc. 1981 Dec;68(12):974-9.
6
Hemifacial spasm and blepharospasm: percutaneous fractional thermolysis of branches of facial nerve.半面痉挛和眼睑痉挛:面神经分支的经皮分次热凝术
N Y State J Med. 1977 Dec;77(14):2234-7.
7
Treatment of essential blepharospasm and hemifacial spasm by selective sections of the facial nerve.
Rev Laryngol Otol Rhinol (Bord). 1986;107(1):65-7.
8
Management of blepharospasm.眼睑痉挛的管理
Trans Am Ophthalmol Soc. 1985;83:367-86.
9
[Pharmacologic, surgical and infiltration of botulin toxin treatment in blepharospasm].[肉毒杆菌毒素治疗眼睑痉挛的药理、手术及局部注射治疗]
Neurologia. 1989 Jul-Aug;4(6):194-9.
10
Surgical therapy for blepharospasm.眼睑痉挛的手术治疗
Adv Neurol. 1983;37:215-24.