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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3105886PMC
http://dx.doi.org/10.1136/bcr.2006.095570DOI Listing

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A winking coronary sign refers to the partial collapse of an artery situated over the ventricular septal rupture during systole and refilling of the same during diastole, which is seen as phasic filling and disappearance of the arterial segment during coronary angiography. In this article, we discuss the case of a patient who reported to the emergency department of a tertiary care hospital in central India with myocardial infarction of the anterior wall. Two-dimensional echocardiography and coronary angiography revealed ventricular septal rupture.

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Article Synopsis
  • The study assesses treatment options for patients with Marcus Gunn jaw winking syndrome (MGJWS) by reviewing data from 38 patients at a single institution.
  • Conservative management was effective for patients with no or mild ptosis, while moderate to severe ptosis required different surgical approaches, with levator resection (LR) showing variable outcomes.
  • For severe ptosis and synkinesis, levator excision (LE) and frontalis suspension (FS) are recommended for better results, while unilateral frontalis flap (FF) is an option for those who prefer a less extensive surgery.
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Management of Marcus Gunn jaw wink syndrome with tarsofrontalis sling vis a vis levator excision and frontalis sling: a comparative study.

Orbit

February 2023

Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, Sankara Nethralaya, Chennai, India.

Purpose: To compare the results between tarsofrontalis sling (TFS) and levator palpebrae superioris (LPS) excision with TFS in cases of ptosis with Marcus Gunn jaw winking syndrome (MGJWS).

Method: A retrospective review of records of all patients undergoing either TFS (group A) or LPS excision along with TFS (group B) in cases of ptosis with MGJWS was done over the past 10 years and their results were compared.

Results: The study included 73 patients (75 eyes).

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