A modified temporalis transfer in facial reanimation.
A modified surgical procedure for temporalis transfer in facial reanimation of five consecutive cases is presented. Instead of the traditional stripping of the temporalis from its origin, its attachment at the coronoid removed, and to its end, the harvested fascia lata graft was sutured to lengthen the muscle's action. These fibres were then passed to the Orbicularis Oculi and Oris to aid in reanimation and to improve their tone. The procedure is less extensive, provides a direct line of pull with good functional results, no muscle atropy since vascularity and innervation is maintained. No complaints of paresthesia, hyposthesia or scar on donor leg was noticed. None of the patients required a revision of surgery for unacceptable contour or asymmetry. This simple procedure has helped reconstruction of natural symmetrical smile with highly successful results.
Balaji
S M
SM
Balaji Dental & Craniofacial Hospital, 30 Kavingar Bharadidasan Road, Teynampet, Chennai-600 018, S. India. smbalaji@md2.vsnl.net.in
D000328:Adult; D001767:Blinking / Q000502:physiology; D002921:Cicatrix / Q000517:prevention & control; D005143:Eyelids / Q000503:physiopathology; D005146:Facial Asymmetry / Q000517:prevention & control; D005149:Facial Expression; D005152:Facial Muscles / Q000503:physiopathology / Q000601:surgery; D005158:Facial Paralysis / Q000209:etiology / Q000601:surgery*; D005206:Fascia Lata / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006987:Hypesthesia / Q000517:prevention & control; D008297:Male; D009119:Muscle Contraction / Q000502:physiology; D010292:Paresthesia / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D013524:Surgical Flaps; D013536:Suture Techniques; D013703:Temporal Muscle / Q000637:transplantation*; D016896:Treatment Outcome