Orbicularis myectomy with levator advancement in Schwartz-Jampel syndrome

Orbicularis myectomy with levator advancement in Schwartz-Jampel syndrome

Autor Lucci, L. M. Google Scholar
Yen, M. T. Google Scholar
Anderson, R. L. Google Scholar
Hwang, I. P. Google Scholar
Black, R. E. Google Scholar
Instituição Oculoplast Surg Inc
Universidade Federal de São Paulo (UNIFESP)
Calif Eye Clin
Eye Associates New Mexico
Resumo PURPOSE: Schwartz-Jampel syndrome is a disorder of continuous myotonia causing blepharospasm, acquired ptosis, and blepharophimosis. We report the management of the associated eyelid anomalies with orbicularis oculi myectomy, levator aponeurosis resection, and lateral canthopexy.METHODS: Interventional case reports. Two patients with Schwartz-Jampel syndrome presented with blepharospasm, acquired ptosis, and blepharophimosis. Orbicularis myectomy, levator aponeurosis resection, and lateral canthopexy were performed to relieve the blepharospasm and to correct the ptosis and blepharophimosis.RESULTS: Significant functional and cosmetic improvements were achieved by increasing the palpebral fissure height and length while greatly decreasing the blepharospasm of the patients. No recurrence of the blepharospasm or eyelid anomalies has been noted after 1 and 15 years of follow-up, respectively.CONCLUSION: the blepharospasm and eyelid alterations caused by Schwartz-Jampel syndrome should be treated to provide functional and cosmetic improvements. Our technique of myectomy, levator resection, and lateral canthopexy provides an excellent, long-lasting result. (C) 2001 by Elsevier Science Inc. All rights reserved.
Idioma Inglês
Data de publicação 2001-11-01
Publicado em American Journal of Ophthalmology. New York: Elsevier B.V., v. 132, n. 5, p. 799-801, 2001.
ISSN 0002-9394 (Sherpa/Romeo, fator de impacto)
Publicador Elsevier B.V.
Extensão 799-801
Fonte http://dx.doi.org/10.1016/S0002-9394(01)01104-7
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000171884700033
Endereço permanente http://repositorio.unifesp.br/handle/11600/26655

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