论文部分内容阅读
Marcus-Gunn 氏综合征又名下颌一瞬目综合征。我科于1990年2月曾遇1例,采用切断提上睑肌将其与眉部悬吊,术后虽消除了咀嚼时眼睑运动,但上睑下垂复发。以后改用额肌瓣悬吊术,效果满意,报告如下。患者女21岁右上睑自幼下垂,张口或咀嚼时,右上睑跳跃式抬高。全身检查未见异常。双眼视力及眼球前后节均正常。平视时,右眼睑裂宽3mm、左眼睑裂宽10mm。张口或下颌向左侧移动时,右眼睑裂开大至12mm,左眼睑裂无变化。诊断右眼睑下颌—瞬目综合征。手术时采用局部麻醉。翻转上睑,于颞侧穹窿部将结膜垂直切开,潜行分离结膜。在上睑皮肤皱折处,平行睑缘切开皮肤及其下眼
Marcus-Gunn’s syndrome, also known as jaw one blink syndrome. My department in February 1990 had a case of 1 case, the use of cut off the levator muscle suspension with the eyebrow, although the elimination of chewing eyelid movement, but the recurrence of ptosis. After the switch to frontal muscle flap suspension, the effect is satisfactory, the report is as follows. 21-year-old patient right upper eyelid drooping, mouth or chewing, the right upper eyelid jump-type elevation. No abnormalities in the whole body examination. Binocular vision and nodules were normal before and after. Flat head, the right eyelid crack width 3mm, left eyelid crack width 10mm. Open mouth or jaw to the left to move, the right eyelid dehiscence up to 12mm, left eye palpebral fissure unchanged. Diagnosis of right eyelid jaw - blink syndrome. Local anesthesia with surgery. Flip the upper eyelid, in the temporal fornix will conjunctiva vertical incision, sneak separation conjunctiva. In the upper eyelid skin fold, cut the skin parallel to the lower eyelid