Levator myectomy in synkinetic ptosis

D. B. Dillman and R. L. Anderson

A procedure for obliterating levator palpebrae superioris function is useful in stopping synkinetic movements of the upper lid in jaw winking and related disorders. The central element of the procedure is division of the levator muscle above Whitnall's ligament. This process obliterates the synkinetic movement completely without extensive dissection and injury to eyelid structures. Eight patients observed for up to five years have had complete and permanent resolution of synkinesis with no complications.