International Journal of Clinical Pediatric Surgery

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Results in Superior Oblique Sharpening in Brown Syndrome and Systemic Pediatric Diseases

Received: 30 October 2016    Accepted: 15 December 2016    Published: 09 January 2017
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Abstract

The objective of this study was to evaluate and compare epidemiological factors, associated diseases, exploration and outcomes in patients with Brown Syndrome (BS) operated of superior oblique (SO) sharpening. This is a cross-sectional comparative study. 24 patients with BS operated of SO sharpening were enrolled in this study. The adduction-elevation restriction (AER), torticollis, visual acuity, treatments, trochlea triamcinolone-injections, age of surgery and systemic diseases were assessed. Fisher’s test was used to analyze if there is any association between the variables analyzed with systemic diseases. Differences between preoperative and postoperative status were analyzed using the Wilcoxon test with Bonferroni correction post hoc. We found a preoperative mean AER (0-3) was 2.88. One year after the surgery, mean AER it was 0.59 (P<0.001). Preoperative torticollis was observed in 79.1% patients. Torticollis was solved in 95.8% of cases in one year follow-up (P<0.001). Most common concomitant diseases were allergic asthma (12.5%), adenoid hypertrophy (12.5%), and heart murmurs (12.5%). No significant association of systemic disease with postsurgical torticollis or AER was found (P>0.05). In conclusion, SO sharpening constitutes a safe and effective surgery for BS, with fewer complications than other techniques previously described.

DOI 10.11648/j.ijcps.20160201.11
Published in International Journal of Clinical Pediatric Surgery (Volume 2, Issue 1, December 2016)
Page(s) 1-3
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Brown Syndrome, Superior Oblique Sharpening, Concomitant Disease, Torticollis

References
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Author Information
  • Department of Pediatrics, Marqués de Valdecilla University Hospital, Cantabria, Spain

  • Ophthalmology Department, Sierrallana Hospital, Barrio de Ganzo, Cantabria, Spain

  • Ophthalmology Department, Ramón y Cajal University Hospital, Madrid, Spain

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    Andrea Fernández-Menéndez, Alfonso Casado, Jose M. Rodríguez. (2017). Results in Superior Oblique Sharpening in Brown Syndrome and Systemic Pediatric Diseases. International Journal of Clinical Pediatric Surgery, 2(1), 1-3. https://doi.org/10.11648/j.ijcps.20160201.11

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    ACS Style

    Andrea Fernández-Menéndez; Alfonso Casado; Jose M. Rodríguez. Results in Superior Oblique Sharpening in Brown Syndrome and Systemic Pediatric Diseases. Int. J. Clin. Pediatr. Surg. 2017, 2(1), 1-3. doi: 10.11648/j.ijcps.20160201.11

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    AMA Style

    Andrea Fernández-Menéndez, Alfonso Casado, Jose M. Rodríguez. Results in Superior Oblique Sharpening in Brown Syndrome and Systemic Pediatric Diseases. Int J Clin Pediatr Surg. 2017;2(1):1-3. doi: 10.11648/j.ijcps.20160201.11

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  • @article{10.11648/j.ijcps.20160201.11,
      author = {Andrea Fernández-Menéndez and Alfonso Casado and Jose M. Rodríguez},
      title = {Results in Superior Oblique Sharpening in Brown Syndrome and Systemic Pediatric Diseases},
      journal = {International Journal of Clinical Pediatric Surgery},
      volume = {2},
      number = {1},
      pages = {1-3},
      doi = {10.11648/j.ijcps.20160201.11},
      url = {https://doi.org/10.11648/j.ijcps.20160201.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcps.20160201.11},
      abstract = {The objective of this study was to evaluate and compare epidemiological factors, associated diseases, exploration and outcomes in patients with Brown Syndrome (BS) operated of superior oblique (SO) sharpening. This is a cross-sectional comparative study. 24 patients with BS operated of SO sharpening were enrolled in this study. The adduction-elevation restriction (AER), torticollis, visual acuity, treatments, trochlea triamcinolone-injections, age of surgery and systemic diseases were assessed. Fisher’s test was used to analyze if there is any association between the variables analyzed with systemic diseases. Differences between preoperative and postoperative status were analyzed using the Wilcoxon test with Bonferroni correction post hoc. We found a preoperative mean AER (0-3) was 2.88. One year after the surgery, mean AER it was 0.59 (P0.05). In conclusion, SO sharpening constitutes a safe and effective surgery for BS, with fewer complications than other techniques previously described.},
     year = {2017}
    }
    

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    AU  - Andrea Fernández-Menéndez
    AU  - Alfonso Casado
    AU  - Jose M. Rodríguez
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    T2  - International Journal of Clinical Pediatric Surgery
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    JO  - International Journal of Clinical Pediatric Surgery
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    AB  - The objective of this study was to evaluate and compare epidemiological factors, associated diseases, exploration and outcomes in patients with Brown Syndrome (BS) operated of superior oblique (SO) sharpening. This is a cross-sectional comparative study. 24 patients with BS operated of SO sharpening were enrolled in this study. The adduction-elevation restriction (AER), torticollis, visual acuity, treatments, trochlea triamcinolone-injections, age of surgery and systemic diseases were assessed. Fisher’s test was used to analyze if there is any association between the variables analyzed with systemic diseases. Differences between preoperative and postoperative status were analyzed using the Wilcoxon test with Bonferroni correction post hoc. We found a preoperative mean AER (0-3) was 2.88. One year after the surgery, mean AER it was 0.59 (P0.05). In conclusion, SO sharpening constitutes a safe and effective surgery for BS, with fewer complications than other techniques previously described.
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