Related Experiment Video
Updated: Jun 5, 2026
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Surgical management of chronic complete sixth nerve palsy
Nazife Sefi Yurdakul1, Seyda Ugurlu, Ahmet Maden
1Department of Ophthalmology, Izmir Atatürk Education and Research Hospital, Izmir, Turkey. nsef@yahoo.com
Background And Objective:
to evaluate the results of strabismus surgery in patients with chronic complete sixth nerve palsy.
Patients And Methods:
the patients with negative traction test underwent full tendon vertical rectus muscle transposition, whereas the patients with positive traction test had medial rectus recession and transposition surgery. Traction sutures were used in patients with deviations greater than 65 prism diopters (PD) in addition to medial rectus recession.
Results:
the mean age of 6 female (35.3%) and 11 male (64.7%) patients was 45.1 ± 20.5 years (range: 13 to 80 years). The average preoperative and postoperative deviations at the primary position were 64.1 ± 14.3 PD (range: 45 to 85 PD) and 9.6 ± 17.6 PD (range: 0 to 75 PD), respectively, with an overall success rate of 76.5%.
Conclusion:
most of the patients with chronic sixth nerve palsy could achieve good ocular alignment with a surgical approach that is tailored according to the needs of the individual patient.
