Dexmedetomidine-based monitored conscious sedation combined local anesthesia for levator resection in a 10-year-old child with Marcus Gunn jaw-winking synkinesis
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منابع مشابه
Dexmedetomidine-based monitored conscious sedation combined local anesthesia for levator resection in a 10-year-old child with Marcus Gunn jaw-winking synkinesis
RATIONALE Levator resection has become a routine procedure for patients with severe Marcus Gunn jaw-winking synkinesis (MGJWS). To optimize the surgical outcome, adult patients need to be kept awake, or easily aroused and responsive to verbal commands during the operation. However, levator resection is commonly performed under general anesthesia in pediatric patients. In the present case, we de...
متن کاملMarcus Gunn jaw-winking syndrome.
From the Department of Neurology, Chia-Yi Christian Hospital, Chia-Yi. Received June 24, 2009. Revised and Accepted July 10, 2009. Reprint requests and correspondence to: Yu-Hisang Su, MD. Department of Neurology, Chia-Yi Christian Hospital, No 539, Chung-Shao Road, Chia-Yi, Taiwan. E-mail: [email protected] KT is a 3-year-old girl and presents with a significant left congenital ptosis. Since ...
متن کاملKinematic and Diffusion Tensor Imaging Definition of Familial Marcus Gunn Jaw-Winking Synkinesis
BACKGROUND Marcus Gunn jaw-winking synkinesis (MGJWS) is characterized by eyelid ptosis, which disappears during jaw movement. Familial MGJWS is an extremely rare condition. Some authors suggested that MGJWS is due to neural misdirection in the brainstem whereas others suggested that aberrant reinnervation or ephapse may be responsible for synkinetic activity. Pathogenesis of this condition is ...
متن کاملSurgical Outcomes in Cases of Marcus-Gunn Jaw-Winking Phenomenon.
BACKGROUND Markus-Gunn Jaw-winking Phenomenon (MGJW) is a congenital ptosis associated with synkinetic movement of upper lid on masticating movements of jaw. It results from aberrant connection between motor division of trigeminal nerve and oculomotor nerve. OBJECTIVE To investigate the clinical characteristics of MGJW phenomenon and evaluate its surgical outcomes of unilateral levator excisi...
متن کاملLevator sling for Marcus Gunn ptosis.
A modified simple technique of sling operation is presented in 15 cases using the levator aponeurosis as the material for the sling as originally devised by Lemagne and Bemcher. The levator is cut behind the superior transverse ligament and the posterior part of the levator is cauterised and allowed to retract into the orbit. The horns are cut from behind forwards, and the levator, which is kep...
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ژورنال
عنوان ژورنال: Medicine
سال: 2017
ISSN: 0025-7974
DOI: 10.1097/md.0000000000009369