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The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery
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Research Articles

Marcus-Gunn jaw winking syndrome: case series study and management algorithm

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Pages 33-40 | Received 05 Oct 2022, Accepted 12 Feb 2023, Published online: 01 Mar 2023

References

  • Pratt SG, Beyer CK, Johnson CC. The Marcus Gunn phenomenon. A review of 71 cases. Ophthalmology. 1984;91(1):27–30. doi:10.1016/S0161-6420(84)34331-7.
  • Kannaditharayil D, Geyer H, Hasson H, Herskovitz S. Bilateral Marcus Gunn jaw-winking syndrome. Neurology. 2015 10;84(10):1061. doi:10.1212/WNL.0000000000001338.
  • Oltmanns M, Khuddus N. Duane retraction syndrome type I, Marcus Gunn jaw-winking and crocodile tears in the same eye. J Pediatr Ophthalmol Strabismus. 2010;22(1):47. doi:10.3928/01913913-20101217-04.
  • Demirci H, Frueh BR, Nelson CC. Marcus Gunn jaw-winking synkinesis: clinical features and management. Ophthalmology. 2010;117(7):1447–1452. doi:10.1016/j.ophtha.2009.11.014.
  • Ning Q, Cao J, Xie J, Gao Q, Wang C, Ye J. Unilateral levator aponeurosis excision for Marcus Gunn syndrome and risk factors of residual jaw winking. J Ophthalmol. 2019;2019:2058047. doi:10.1155/2019/2058047.
  • Gunn RM. Congenital ptosis with peculiar associated movements of the affected lid. Trans Ophthalmol Soc UK. 1883;3:283–287.
  • Shah AD, Kumar AB, Kothari K. Bilateral Marcus Gunn jaw winking synkinesis with monocular elevation deficiency: a case report and literature review. Int Ophthalmol. 2012;32(2):199–201. doi:10.1007/s10792-012-9538-0.
  • Eccles JC, Eccles RM, Magni F. Central inhibitory action attributable to presynaptic depolarization produced by muscle afferent volleys. J Physiol. 1961;159(1):147–166. doi:10.1113/jphysiol.1961.sp006798.
  • Pearce FC, McNab AA, Hardy TG. Marcus Gunn jaw-winking syndrome: a comprehensive review and report of four novel cases. Ophthalmic Plast Reconstr Surg. 2017;33(5):325–328. doi:10.1097/IOP.0000000000000780.
  • Alam MS, Ahuja S. Inverse Marcus Gunn jaw winking phenomenon: a rare inhibitory synkinesis. Orbit. 2021;5:1. doi:10.1080/01676830.2021.1942502.
  • Sano K. Trigemino-oculomotor synkinesis. Neurologia Med Chir. 1959;1(1–2):29–51. doi:10.2176/nmc.1.29.
  • Conte A, Brancati F, Garaci F, Toschi N, Bologna M, Fabbrini G, et al. Kinematic and diffusion tensor imaging definition of familial Marcus Gunn jaw-winking synkinesis. PLoS One. 2012;7(12):e51749. doi:10.1371/journal.pone.0051749.
  • Rasminsky M. Ephaptic transmission between single nerve fibres in the spinal nerve roots of dystrophic mice. J Physiol. 1980;305(1):151–169. doi:10.1113/jphysiol.1980.sp013356.
  • Hiscock J, Straznicky C. Peripheral and central terminations of axons of the mesencephalic trigeminal neurons in Xenopus. Neurosci Lett. 1982;32(3):235–240. doi:10.1016/0304-3940(82)90299-3.
  • Simpson DG. Marcus Gunn phenomenon following squint and ptosis surgery; definition and review. AMA Arch Ophthalmol. 1956;56(5):743–748. doi:10.1001/archopht.1956.00930040751014.
  • Lehman AM, Dong CC, Harries AM, Patel A, Honey CR, Patel MS. Evidence of ancillary trigeminal innervation of levator palpebrae in the general population. J Clin Neurosci. 2014;21(2):301–304. doi:10.1016/j.jocn.2013.03.029.
  • Liang H, Song J, Shen D, Qiao Y, Zhang J. Co-firing of levator palpebrae and masseter muscles links the masticatory and oculomotor system in humans. J Biomed Res. 2015;29(4):316–320. doi:10.7555/JBR.29.20150084.
  • Liang H, Zhang J, Luo P, Zhu H, Qiao Y, Su A, et al. Electromyography and Fos immunostaining study establish a possible functional link between trigeminal proprioception and the oculomotor system in rats. J Biomed Res. 2017;31(3):256–263. doi:10.7555/JBR.31.20160127.
  • Doucet TW & Crawford JS. The quantification, natural course, and surgical results in 57 eyes with Marcus Gunn (jaw-winking) syndrome. Am J Ophthalmol. 1981;92(5):702–707. doi:10.1016/S0002-9394(14)74665-3.
  • Bowyer JD, Sullivan TJ. Management of Marcus Gunn jaw winking synkinesis. Ophthalmic Plast Reconstr Surg. 2004;20(2):92–98. doi:10.1097/01.IOP.0000115595.20838.F4.
  • Bajaj MS, Angmo D, Pushker N, Hada M. Modified technique of levator plication for the correction of Marcus Gunn jaw-winking ptosis: a case series. Int Ophthalmol. 2015;35(4):587–591. doi:10.1007/s10792-015-0060-z.
  • Al-Essa RS, Althaqib RN, Kikkawa DO, Alsuhaibani AH. Long-term surgical outcomes of levator resection in patients with Marcus-Gunn jaw-winking ptosis. Orbit. 2021;41(2):1–5. doi:10.1080/01676830.2021.1872089.
  • Lyness RW, Collin JR, Alexander RA, Garner A. Histological appearances of the levator palpebrae superioris muscle in the Marcus Gunn phenomenon. Br J Ophthalmol. 1988;72(2):104–109. doi:10.1136/bjo.72.2.104.
  • Neuhaus RW. Eyelid suspension with a transposed levator palpebrae superioris muscle. Am J Ophthalmol. 1985 Aug 15;100(2):308–311. 10.1016/0002-9394(85)90798-6.
  • Xiang N, Hu WK, Li B, Liu R. Management of moderate-to-severe Marcus-Gunn syndrome by anastomosis of levator and frontal muscles. Int J Ophthalmol. 2010;3-4:342–345.
  • Shah G, Khurana D, Das S, Tiple S, Honavar SG. Unilateral frontalis suspension with silicone sling without levator extirpation in congenital ptosis with Marcus Gunn jaw winking synkinesis. Ophthalmic Plast Reconstr Surg. 2020;36(4):390–394. doi:10.1097/IOP.0000000000001566.
  • Beard C. A new treatment for severe unilateral congenital ptosis and for ptosis with jaw-winking* *from the department of ophthalmology, university of California Medical Center, San Francisco. Am J Ophthalmol. 1965;59(2):252–258. doi:10.1016/0002-9394(65)94789-6.
  • Callahan A. Correction of unilateral blepharoptosis with bilateral eyelid suspension. Am J Ophthalmol. 1972;74(2):321–326. doi:10.1016/0002-9394(72)90553-3.
  • Cates CA, Tyers AG. Results of levator excision followed by fascia lata brow suspension in patients with congenital and jaw-winking ptosis. Orbit. 2008;27(2):83–89. doi:10.1080/01676830701376072.
  • Collin JR. New concepts in the management of ptosis. Eye (Lond). 1988;2(Pt 2):185–188. doi:10.1038/eye.1988.33.
  • Sthapit RP, Saiju R. Surgical outcomes in cases of Marcus-Gunn jaw-winking phenomenon. Kathmandu Univ Med J. 2015;49(1):34–37. doi:10.3126/kumj.v13i1.13750.
  • Khwarg SI, Tarbet KJ, Dortzbach RK, Lucarelli MJ. Management of moderate-to-severe Marcus-Gunn jaw-winking ptosis. Ophthalmology. 1999;106(6):1191–1196. doi:10.1016/S0161-6420(99)90258-0.
  • Singh P, Koka K, Alam MS, Mukherjee B. Management of Marcus Gunn jaw wink syndrome with tarsofrontalis sling vis a vis levator excision and frontalis sling: a comparative study. Orbit. 2022 Jan 24;1–7. 10.1080/01676830.2022.2090013.
  • Medel R, Vasquez L, Wolley Dod C. Early frontalis flap surgery as first option to correct congenital ptosis with poor levator function. Orbit. 2014;33(3):164–168. doi:10.3109/01676830.2014.881396.
  • Park DH, Ahn KY, Han DG, Baik BS. Blepharoptosis repair by selective use of superiorly based muscle flaps. Plast Reconstr Surg. 1998;101(3):592–603. doi:10.1097/00006534-199803000-00005.
  • Ramirez OM, Peña G. Frontalis muscle advancement: a dynamic structure for the treatment of severe congenital eyelid ptosis. Plast Reconstr Surg. 2004;113(6):1841–1849. doi:10.1097/01.PRS.0000117664.07831.48.
  • Islam ZU, Rehman HU, Khan MD. Frontalis muscle flap advancement for jaw-winking ptosis. Ophthalmic Plast Reconstr Surg. 2002;18(5):365–369. doi:10.1097/00002341-200209000-00008.
  • Tsai CC, Lin TM, Lai CS, Lin SD. Use of the orbicularis oculi muscle flap for severe Marcus Gunn ptosis. Ann Plast Surg. 2002;48(4):431–434. doi:10.1097/00000637-200204000-00016.
  • Park DH, Choi WS, Yoon SH. Treatment of the jaw-winking syndrome. Ann Plast Surg. 2008;60(4):404–409. doi:10.1097/SAP.0b013e31812f7dc2.
  • Ibrahim HA. Use of the levator muscle as a frontalis sling. Ophthalmic Plast Reconstr Surg. 2007;23(5):376–380. doi:10.1097/IOP.0b013e3181379e20.
  • Lemagne JM. Transposition of the levator muscle and its reinnervation. Eye. 1988;2:189–192. doi:10.1038/eye.1988.34.
  • Manners RM, Rosser P, Collin JRO. Levator transposition procedure. A review of 35 cases. Eye. 1996;10(5):539–544. doi:10.1038/eye.1996.124.

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