M.G. KATAEV, M.A. ZAKHAROVA

The S. Fyodorov Eye Microsurgery Federal State Institution, 59a Beskudnikovsky blvr, Moscow, Russian Federation, 127486

Kataev M.G. — D. Med. Sc., Professor, Head of the Reconstructive and Plastic Surgery Department, tel. (495) 484-7298, e-mail: mkataev@yandex.ru

Zakharova M.A. — Cand. Med. Sc., Researcher of the Reconstructive and Plastic Surgery Department, e-mail: ophtalmus@mail.ru

 Evaluation has been carried out of the outcomes of surgical treatment of Marcus Gunn jaw-winking ptosis by levator resection and frontalis suspension in 15 operated patients. The levator resection was made for 10 patients. In 5 cases frontalis suspension was made, 2 of them with mersilene mesh, 3 with patient’s own levator muscle. In 10 cases after levator resection, a good anatomical and functional result was achieved. The degree of synkinesis movement of the upper lid decreased in comparison with preoperative values (p<0.05). In one case after frontalis suspension with mersilene mesh, the effect was insufficient, and the suspension was shortened after 6 months. In three cases after frontalis suspension by own levator during one and a half years of observation, the distance of the suspension gradually increased, that reduced the functional effect. The levator resection with its function ≥5mm and synkinesis up to 5-6 mm is more justifiable for its the functional and cosmetic effect, than the suspension operation. In most cases, a patient can control the degree of synkinesis movement independently. The suspension operation makes a face mask-like, which in case of a unilateral operation looks worse than the eyelid with a lively palpebral crease after the levator resection.

Key words: Marcus Gunn jaw-winking ptosis, frontalis suspension, levator resection, synkinesis.

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