Surgical Interventions for Management of Marcus Gunn Jaw-Winking Phenomenon: A Systematic Review

Marcus Gunn jaw-winking syndrome (MGJWS) is a congenital synkinetic ptosis characterized by involuntary eyelid movement with jaw motion. Various surgical interventions, including levator excision and frontalis suspension, have been employed to improve functional and aesthetic outcomes. However, the optimal approach remains debated due to variable success rates and recurrence risks. This study aims to systematically review the effectiveness of different interventions for MGJWS. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), analyzing studies on surgical interventions for MGJWS. Predefined inclusion and exclusion criteria were used. Surgical intervention was found to be effective for the management of MGJWS, but long-term follow-up and additional clinical data are needed to determine optimal techniques and minimize the recurrence risks of the phenomenon.