Full-tendon nasal transposition of the vertical rectus muscles: a retrospective review.
The authors report the results of a retrospective review of patients who underwent nasal transposition of the vertical rectus muscles between 1997 and 2004. Eight patients were identified, 4 males and 4 females. There was an average age at surgery of 37 years, with a range from 8 to 79 years. The aetiologies included 6 patients with trauma to their medial rectus (4 following endoscopic sinus surgery) and 2 patients with paralytic medial rectus muscles secondary to 3rd nerve palsy. All patients underwent whole tendon transposition of the superior and inferior rectus muscles, with resection of both muscles in 7 cases, before reattachment adjacent to the upper and lower borders of the medial rectus, respectively. One patient had a reduced amount of resection and this was combined with inferior oblique disinsertion and traction sutures. All patients had a reduction in deviation in the primary position and in 5 patients there was some improvement in adduction. A consequence of surgery was a degree of limitation of abduction, elevation and depression in some patients. Overall, patients were satisfied with the improvement in their appearance.
Dawson
Emma L M
EL
Moorfields Eye Hospital, London, UK.
Boyle
Natalie J
NJ
Lee
John P
JP
D000328:Adult; D000368:Aged; D002648:Child; D005131:Eye Injuries / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000601:surgery*; D009666:Nose; D009801:Oculomotor Muscles / Q000293:injuries / Q000601:surgery*; D009886:Ophthalmoplegia / Q000601:surgery; D012189:Retrospective Studies; D013709:Tendon Transfer; D016896:Treatment Outcome