Myectomy for blepharospasm 2013

被引：17
作者：
Pariseau, Brett [1 ]
Worley, Michael W. [1 ]
Anderson, Richard L. [1 ]
机构：
[1] Ctr Facial Appearances, Salt Lake City, UT 84102 USA
来源：
CURRENT OPINION IN OPHTHALMOLOGY | 2013年 / 24卷 / 05期
关键词：
apraxia of eyelid opening; blepharospasm; botulinum toxin; hemifacial spasm; myectomy; TOXIN INJECTION; SURGERY; APRAXIA; UPDATE;
D O I：
10.1097/ICU.0b013e3283645aee
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose of reviewBotulinum toxin (BTX) injections are the main medical treatment of facial dystonias, but injections are ineffective in some patients. This review discusses the indications for myectomy and surgical technique for treating benign essential blepharospasm (BEB) and apraxia of eyelid opening (ALO).Recent findingsThere are four reasons to consider myectomy for patients with BEB. The first is ALO associated with BEB. The second is patients with blepharospasm-associated deformities. The third is patients who are truly unresponsive to BTX. The fourth is patients who cannot afford or who refuse BTX injections.SummaryMyectomy remains essential for treating blepharospasm patients and the most common indication is those with associated ALO.
引用
收藏
页码：488 / 493
页数：6
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