JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (5): 68-71.doi: 10.6040/j.issn.1673-3770.0.2014.063

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Levator excision and frontalis suspension to treat Marcus-Gunn jaw-winking syndrome (11 cases report)

ZHANG Shi-xi, ZHANG Hua, WANG Hong   

  1. Department of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Received:2014-02-21 Published:2014-10-16

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Abstract: Objective To explore the clinical effectiveness of levator excision and frontalis suspension in the treatment of Marcus-Gunn jaw-winking syndrome. Methods 11 cases (11eyes)of Marcus-Gunn jaw-winking syndrome received surgical treatment of levator excision and frontalis suspension. All patients presented ptosis, and when the patients opened mouth, jaw moved toward the healthy side or moved forward, the saggy eyelid would rise suddenly even more than the contralateral eye. Results All patients had good curative effect. Binocular palpebral fissure height was symmetrical and all eyelids showed complete resolution of jaw-winking. The upper palpebral margin was natural. Some patients presented incomplete eyelid closure and winking to some extent. Conclusion Marcus-Gunn jaw-winking syndrome presents typical clinical features but not obvious signs. Dynamic observation is necessary to achieve the diagnosis. Without careful examination, it's very easy to be misdiagnosed as simple ptosis, which will lead to inappropriate treatment. Levator excision and frontalis suspension is a feasible surgical approach to treat Marcus-Gunn jaw- winking syndrome.

Key words: Marcus-Gunn jaw-winking syndrome, Ptosis, Frontalis suspension

CLC Number: 

  • R777.1
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