眼瞼挙筋切除および吊り上げ術を施行したMarcus Gunn症候群の小児の一例
スポンサーリンク
概要
- 論文の詳細を見る
Marcus Gunn syndrome was first reported by Robert Marcus Gunn, an ophthalmologist, in 1883. This phenomenon involves eyelid elevation that occurs in response to mandibular movements such as mouth opening, and is thought to be an abnormal synkinesis between the external pterygoid muscle and the levator muscle of the upper eyelid, which are innervated by the trigeminal nerve and the ipsilateral oculomotor nerve, respectively. This case study presents a 6-year-old girl for whom excision of the tarsal plate and levator muscle at the attachment site and sling operation of the tarsal plate using fascia lata transplant were performed under general anesthesia. Although postoperative improvement in blepharoptosis and disappearance of abnormal synkinesis were observed, blepharoptosis gradually recurred. The patient remains under observation following two corrective surgeries for blepharoptosis.
- 学校法人 昭和大学・昭和医学会の論文