AI Article Synopsis
- The study reports on 4 patients with congenital nystagmus who developed a new or reversed compensatory head posture after undergoing Anderson-Kestenbaum (A-K) surgery.
- A retrospective review was conducted, revealing that all patients initially had a significant head turn, and three underwent varying degrees of augmented A-K surgery to address this.
- Following surgery, the patients experienced a reversal or new compensatory head posture on average 4 years later, but successful surgical management allowed for a satisfactory head position in all cases.
Article Abstract
Purpose: To report clinical findings and surgical management of 4 patients with congenital nystagmus who presented with a new or reversal of their original horizontal compensatory head posture (CHP) after Anderson-Kestenbaum (A-K) surgery.
Method: Retrospective chart review.
Results: All 4 patients demonstrated a 40°-45° horizontal face turn at the time of their initial surgery and 3 underwent 20% and one 30% augmented A-K surgery to correct the CHP. The new CHP or reversal of the original CHP was observed at a mean of 4 years (range 1-9 years) after the initial surgery. The reversed CHPs measured 20°, 40°, 20°, and 20°, respectively. These new or residual CHPs were surgically managed in 3 patients and an acceptable head position was achieved in all patients.
Conclusions: This series of patients points out the occurrence of secondary null points and reversed CHP after surgical correction of initial CHP.
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| http://dx.doi.org/10.5301/EJO.2011.8356 | DOI Listing |
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