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

**Authors:** Adham M Musa, Ahmad AlKayyat, Shadan Alrawi, Omer W Atallah, Ali Atoui, Ibrahim Qamhieh, Eman M Ghawanmeh

PMC · DOI: 10.7759/cureus.82438 · 2025-04-17

## TL;DR

This paper reviews surgical treatments for Marcus Gunn jaw-winking syndrome to determine their effectiveness and identify the best approaches.

## Contribution

The study provides a systematic review of surgical interventions for MGJWS, highlighting the need for long-term data to optimize outcomes.

## Key findings

- Surgical interventions are effective for managing MGJWS.
- Long-term follow-up is needed to determine optimal techniques and reduce recurrence risks.

## Abstract

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.

## Full-text entities

- **Diseases:** involuntary eyelid movement (MESH:D005141), synkinetic ptosis (MESH:C564553), MGJWS (MESH:C535908)

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12005120/full.md

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Source: https://tomesphere.com/paper/PMC12005120