Unilateral Levator Resection for Jaw-Winking Ptosis

  • Stuart R. Seiff


While some surgeons have reported good experience with bilateral levator release and frontalis sling surgery for unilateral jaw-winking ptosis, I feel unilateral levator resection provides good results and that is all I have ever done on these patients. It turns out that most parents (or patients) are unwilling to sacrifice the normal muscle. I typically wait until the child is 3 or 4 years old, but if you can do the surgery sooner, I suspect the results might be even better. In my experience, the younger kids tend to try harder to elevate a ptotic lid.


Normal Muscle Evator Release Vertical Deviation Strabismus Surgery Elevated Position 
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Suggested Reading

  1. Bowyer JD, Sullivan TJ. Management of Marcus Gunn jaw winking synkinesis. Ophthal Plast Reconstr Surg 2004;20:92–98.CrossRefPubMedGoogle Scholar
  2. Callahan MA, Beard C. Beard’s Ptosis, 4th ed. Birmingham, AL: Aesculapius, 1990:115–116.Google Scholar
  3. Seiff SR. Re: Management of Marcus Gunn jaw winking synkinesis. Ophthal Plastic Reconstruct Surg 2004;201–402.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Stuart R. Seiff
    • 1
    • 2
  1. 1.University of CaliforniaSan Francisco
  2. 2.Department of OphthalmologySan Francisco General HospitalSan FranciscoUSA

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