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No intraoperative complications were recorded. The superior oblique split tendon elongation procedure is a useful surgical technique with stable and satisfying outcomes for the treatment of severe congenital Brown's syndrome. The superior oblique split tendon elongation procedure is a useful surgical technique with stable and satisfying outcomes for the treatment of severe congenital Brown's syndrome.[Figure see text].[Figure see text].[Figure see text].[Figure see text].[Figure see text].[Figure see text].In humans, the most commo