Use of the orbicularis oculi muscle flap for severe Marcus Gunn ptosis.
The authors present a 22-year-old man with severe unilateral congenital blepharoptosis associated with Marcus Gunn (jaw-winking) syndrome. The best conventional treatment was levator excision to eliminate the synkinetic reflex and fascia lata brow suspension. However, the previous surgery had some disadvantages. Therefore, the authors report the use of the orbicularis oculi muscle flap to elevate dynamically the ptotic eyelid and to eliminate the synkinetic reflex without levator resection. The postoperative result was both functionally and cosmetically satisfactory after 1 year of follow-up.
Tsai
Chih-Cheng
CC
Department of Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Taiwan.
Lin
Tsai-Ming
TM
Lai
Chung-Sheng
CS
Lin
Sin-Daw
SD
D000328:Adult; D001763:Blepharoptosis / Q000151:congenital / Q000503:physiopathology / Q000601:surgery*; D001767:Blinking; D005143:Eyelids / Q000294:innervation; D005152:Facial Muscles / Q000294:innervation; D006801:Humans; D007568:Jaw / Q000294:innervation*; D008297:Male; D009119:Muscle Contraction / Q000502:physiology; D009801:Oculomotor Muscles / Q000294:innervation* / Q000601:surgery; D012021:Reflex, Abnormal; D013524:Surgical Flaps; D013577:Syndrome