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
[1] Lee V, Konrad H, Bunce C, et al. Aetiology and surgical treatment of childhood blepharoptosis[J]. Br J Ophthalmol, 2002, 86(11):1282-1286.
[2] Tsai C C, Lin T M, Lai C S, et al. Use of the orbicularis oculi muscle flap for severe Marcus-Gunn ptosis[J]. Ann PlastSurg, 2002, 48(4)：431-434.
[3] Torres M R, Calixto N J, Oliveira L R, et al. Marcus-GunnPhenomenon： differential diagnosis of palpebral ptoses inchildren[J]. J Pediatr(Rio J), 2004, 80(3)：249-452.
[4] 李冬梅. 眼整形外科手术设计与技术[M].北京：人民卫生出版社,2003：62.
[5] Kmi G J Jr, Nelson C C. Early habituation of severe blepharoptosis in marcus gunn jaw-winking syndrome[J]. J Pediatr Ophthalmol Strabismus, 2006, 43(1):38-40.
[6] Khwarg S I, Tarbet K J, Dortzbach R K, et al. Management of moderate-to-severe Marcus-Gunn jaw-winking ptosis[J]. Ophthalmology, 1999, 106(6):1191-1196.
[7] Wong J F, Theriault J F, Bouzouaya C, et al. Marcus Gunn jaw-winking phenomenon: a new supplemental test in the preoperative evaluation[J]. Ophthal Plast Reconstr Surg, 2001, 17(6): 412-418.
[8] 吉红云,许龙华. 中度Marcus-Gunn综合征手术治疗1例附文献复习[J].复旦学报:医学版, 2010, 37(5):286-230. JI Hongyun, XU Longhua. One case of the moderate Marcus-Gunn syndrome undergone surgical treatment with the literature review[J]. J Med Sci Fudan University, 2010, 37(5):286-230.
[9] 涂惠芳, 雷海珠,杜薇,等.提上睑肌腱膜瓣悬吊术治疗下颌-瞬目综合征[J].中华整形美容外科杂志,2009,3(20):117-119. TU Huifang, LEI Haizhu, DU Wei, et al. To treat Marcus-Gunn syndrome with eyelid tendon membrane flap suspension surgery[J]. Chin J Plastic Surgery, 2009, 3(20):117-119.
[10] 李冬梅,陈涛,郝磊,等. 中重度下颌瞬目综合征患者的手术治疗[J].中华眼科医学杂志：电子版,2012,2(1):9-13. LI Dongmei, CHEN Tao, HAO Lei, et al. Surgical treatment of patients with moderately severe jaw blink syndrome[J]. Chin J Ophthalmol: Electronic Edition, 2012, 2(1):9-13.
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