Conrad H G, de Decker W
Klin Monbl Augenheilkd. 1978 Nov;173(5):681-90.
The principle of Kestenbaum's surgical rotation of the eyes has been found applicable to cases with head tilt to the shoulder. With restriction to the anterior parts of the obliques, which are acting mainly rotatory, the authors were able to release 9 patients out of 25 from their abnormal head posture with their operation. 12 showed definite improvement. However, the pathophysiology and the abolition of the head tilt to the shoulder could not alltogether be explained yet. Latent nystagmus with a resting position is found in only two out of three, a rotatory component only in one out of three patients. The authors believe that the picture of head tilt to the shoulder may rather be located within the classification of congenital strabismus syndrome (Lang) than within a strict causal classification after a certain type of nystagmus.
凯斯滕鲍姆氏眼球手术旋转原理已被发现适用于头部向肩部倾斜的病例。由于主要起旋转作用的斜肌前部受限，作者通过手术使25例患者中的9例摆脱了异常头部姿势。12例有明显改善。然而，头部向肩部倾斜的病理生理学以及这种姿势的消除尚未完全得到解释。在三分之二的患者中仅发现有静止位潜在性眼球震颤，在三分之一的患者中仅发现有旋转成分。作者认为，头部向肩部倾斜的情况可能更多地属于先天性斜视综合征（朗氏分类），而非严格按照某种类型眼球震颤后的因果分类。
