Myopexie retro-equatoriale, après transposition selon Hummelsheim, dans le traitement de la paralysie du VIème nerf crânien [Retro-equatorial myopexy following Hummelsheim transposition in treatment of 6th cranial nerve paralysis]

Details

Serval ID
serval:BIB_27149
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Myopexie retro-equatoriale, après transposition selon Hummelsheim, dans le traitement de la paralysie du VIème nerf crânien [Retro-equatorial myopexy following Hummelsheim transposition in treatment of 6th cranial nerve paralysis]
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Klainguti G., Gianoli F., Mataftsi A.
ISSN
0023-2165
Publication state
Published
Issued date
2003
Volume
220
Number
3
Pages
170-175
Language
french
Notes
Publication types: Case Reports ; Comparative Study ; English Abstract ; Journal Article
Abstract
INTRODUCTION: Vertical muscle transpositions are considered as the classic procedures for total VIth nerve palsy, whereas weakening of the controlateral medial rectus muscle requires a residual function of the paretic muscle. The aim of this study is to investigate the cumulative effects of these two different surgical approaches applied to the same patients. PATIENTS AND METHODS: 2 patients (M 48 years and F 55 years) with posttraumatic total VIth nerve paralysis were operated in two steps more than 1 year after trauma. The first procedure consisted of a Hummelsheim transposition of the vertical recti and was followed by a posterior fixation of the controlateral medial rectus. RESULTS: The vertical transposition resulted in the improved position of the paretic eye and in the disappearance of diplopia in primary position. The posterior fixation considerably improved the motility in abduction of the paretic eye and consequently provided the patients with widened binocular field of fusion. CONCLUSION: Posterior fixation of the controlateral medial rectus efficiently complements the vertical transposition in cases of total VIth nerve palsy. This combined effect remained stable during a 2 years follow-up in our patients.
Keywords
Abducens Nerve Diseases/etiology, Abducens Nerve Diseases/physiopathology, Convergence, Ocular/physiology, Diplopia/etiology, Diplopia/physiopathology, Esotropia/etiology, Esotropia/physiopathology, Female, Fixation, Ocular/physiology, Follow-Up Studies, Humans, Male, Middle Aged, Oculomotor Muscles/physiopathology, Oculomotor Muscles/surgery, Postoperative Complications/diagnosis, Postoperative Complications/physiopathology, Reoperation, Suture Techniques, Vision, Binocular/physiology
Pubmed
Web of science
Create date
19/11/2007 13:23
Last modification date
20/08/2019 14:05
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