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...

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...

Rationale:Ptosis is a rare complication of periocular steroid use. Studies report that local injections of steroids produce ptosis. We describe the first 2 cases of ptosis because of long-term treatment with topical steroid eye drops. Patient concerns: Two cases admitted to our hospital because of ptosis of their right eye after long-term treatment with topical steroid eye drops. Both of them h...

Putterman clamp, a muscle clamp, is commonly used in conjunctival müllerectomies. We report 3 cases of senile ptosis repaired with levator muscle resection using the Putterman clamp. The redundant levator aponeurosis was removed with electrocautery after clamping with the Putterman clamp. The levator muscle was refixed to the tarsus with three 4-0 Vicryl stitches after adjusting the height of t...

Purpose Tumors at the level of the anorectal junction had required total levator-ani muscle excision to achieve an adequate resection margin. However, in the cases of tumor invading ipsilateral levator-ani muscle and intact external sphincter, en bloc resection of rectum with levator-ani muscle including tumor would be possible. This hemilevator excision (HLE) technique enables preserving the a...

Fig. 1A. Complete ptosis of the right eye at presentation. Dear Editor, Cysticercosis cellulosae, the larval form of the pork tapeworm Taenia solium, causes cysticercosis, in which humans serve as the intermediate hosts in the parasite life cycle. Cysticercosis is endemic in developing regions such as South America, India and China.1,2 However, a rise in a cysticercosis has been observed in ind...

Background: The pathophysiological mechanism behind chronic proctalgia is not fully understood. The study investigated whether treatment of lower limb length discrepancy (anisomelia) with an insole could relieve levator ani syndrome and chronic proctalgia. Patients and Methods: Nine patients with proctalgia were identified as also having anisomelia. The patients underwent clinical evaluation, i...

The levator scapulae muscle frequently contributes to neck and shoulder pain, yet is often overlooked by acupuncture practitioners. To achieve best results in treating neck and shoulder pain, one should be well‐trained in the diagnosis, assessment and treatment of levator scapulae dysfunction. A jingluo (channel) approach to pain often leads to treatment of the para‐spinal muscles of the Bladde...