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Superselective neurectomy with periorbital primary reconstruction for blepharospasm. Case report
Y Nemoto1, H Kaneko, R Serizawa
1Department of Ophthalmology, Teikyo University School of Medicine, Tokyo, Japan.
Summary
A novel surgical approach effectively treated blepharospasm and brow ptosis by excising facial nerve branches and reconstructing the periorbital area. This combined procedure led to significant improvement without adverse oral or facial sensory complications.
Area of Science:
- Ophthalmology
- Neurosurgery
- Plastic Surgery
Background:
- Blepharospasm and ptosis of the brow are debilitating conditions affecting eyelid function.
- Current treatments may have limitations or associated complications.
Observation:
- A 66-year-old male patient presented with blepharospasm and brow ptosis.
- A combined surgical technique was employed involving facial nerve branch excision and simultaneous periorbital reconstruction.
Findings:
- The combined surgical procedure resulted in marked improvement of the patient's blepharospasm and ptosis.
- No oral complications or facial anesthesia were reported post-operatively.
Implications:
- This combined surgical approach offers a potentially effective treatment for blepharospasm and ptosis.
- The technique demonstrates a favorable safety profile, avoiding common complications like oral dysfunction or sensory loss.