We are not ready to use palmaris longus tendon as an autogenous expander for Brown syndrome

Suh, Donny W.

doi:10.1016/j.jaapos.2010.01.002

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Moreover, the reduction in the A-pattern obtained after partial resection of the posterior fibers of the SO muscle is less than that obtained by complete resection (tenotomy or tenectomy) [18]. Certain substances have been used to separate the broken ends of the SO muscle, such as Achilles tendon [19] or a piece of silicon tape [20], but adding these substances would increase the time and complexity of the surgery. The silicone expanders may cause a severe inflammatory reaction [21].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of Helveston syndrome (Triad exotropia)

et al. 2021

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Purpose To evaluate and compare different surgical approaches for the treatment of Helveston syndrome and provide further information for preoperative planning. Methods From February 2008 to December 2018, data of 52 patients with Helveston syndrome were retrospectively reviewed. Different surgical approaches were selected based on the extent of A-pattern exotropia, dissociated vertical deviation (DVD), and both superior oblique muscle overaction (SOOA) with fundus photograph intorsion. Eye position, A-pattern, DVD, superior oblique muscle function, and binocular vision function were evaluated pre- and postoperatively. The average follow-up duration was 20.5 months. Results Nine cases underwent simultaneous horizontal deviation correction with bilateral superior rectus recession, 24 underwent simultaneous horizontal deviation correction with bilateral superior oblique muscle lengthening, and 19 underwent two stages of horizontal deviation correction with superior oblique muscle lengthening, and later bilateral superior rectus recession. A-pattern, DVD, SOOA, and fundus intorsion were all collapsed in all patients postoperatively. Forty-five patients had an orthophoric eye position with considerably aligned ocular movements postoperatively. The total success rate was 86.5%. Postoperatively, eight of the 10 patients with diplopia experienced a recovery of binocular single vision and three had a recovery of rudimentary stereopsis (Titmus 3000–400 s of arc). The compensatory head posture of patients improved significantly postoperatively. Conclusions The surgical planning of Helveston syndrome should be designed based on the degree of the A-pattern, SOOA, DVD, and the intorsion in fundus photographs, and the appropriate approach should be selected to improve patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Surgical management of Helveston syndrome (Triad exotropia)

et al. 2021

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“…Accordingly, palmaris longus harvesting may be associated with some unexpected complications, such as wrist flexion contracture and adjacent nerve or vessel injuries. 16,17 Allografts have shown comparable efficacy compared with autografts; autogenous versus allograft fascia lata have shown almost similar long-term outcomes in frontalis sling surgery. 18 Allograft tendons heal reliably to the adjacent tissue when a nonabsorbable suture is used.…”

Section: Discussionmentioning

confidence: 99%