| Surgical Treatment of the Synkinetic Eyelid Closure in Marin-Amat Syndrome. | |
| | |
MedLine Citation:
|
PMID: 21659851 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Marin-Amat syndrome is a synkinesis which develops following facial nerve palsy and manifests as an involuntary eyelid closure when the jaw is opened. We presented 2 patients with Marin-Amat syndrome. One patient developed this syndrome after Bell palsy and the other after cross-facial nerve graft and free functional muscle transfer. Surgery was planned with an attempt to resect the target muscle innervated by the aberrant nerve to eliminate the paradoxical synkinesis. We developed a new surgical technique by resection of the upper or lower preseptal orbicularis oculi muscle (OOM) to treat the synkinetic eyelid closure effectively in both cases. Since the pretarsal and orbital OOM remain intake, patients can close their eyes smoothly. No recurrence or any sequela was noted after long-term follow-up. Careful preoperative electromyography study and detailed dynamic facial image analysis of both upper and lower lid OOM are very important to locate the synkinetic muscle. To the best of our knowledge, this is the first report to treat Marin-Amat syndrome successfully with surgical resection of preseptal OOM. |
| | |
Authors:
|
Chung-Sheng Lai; Shiang-Ru Lu; Sheau-Fang Yang; Lean-San Teh; Su-Shin Lee |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-6-8 |
Journal Detail:
|
Title: Annals of plastic surgery Volume: - ISSN: 1536-3708 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-6-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
From the *Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; †Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; and Departments of ‡Neurology and §Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A New Technique for Closure of the Infraorbital Defects.
Next Document: Forty-Year Experience With Flow-Diversion Surgery for Patients With Congenital Choledochal Cyst With...