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Facial Plast Surg 2000; 16(4): 351-356
DOI: 10.1055/s-2000-15544
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Temporalis Muscle Transfer for Facial Paralysis: A Further Refinement

Glen R. Croxson1 , Michael J. Quinn2 , Susan E. Coulson3
  • 1Otolaryngology Head and Neck Surgery, Royal Prince Alfred Hospital, Sydney, Australia
  • 2Plastic and Reconstructive Surgery, Royal Prince Alfred Hospital, Sydney, Australia
  • 3Private Practice Physiotherapist, Sydney, Australia
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Facial nerve paralysis can occur due to failure of the central driving mechanism (nuclear or supranuclear pathology), failure of the conduit between the brainstem and the peripheral musculature (the facial nerve), or failure of the peripheral end organ (the neuromuscular system). Where the peripheral neuromuscular system fails, the options for dynamic reanimation include a regional muscle transfer driven by another ipsilateral cranial nerve, or a free muscle transfer driven by the contralateral facial nerve. Temporalis muscle transfer is an example of regional muscle transfer and has been used since early in the twentieth century. A further refinement, involving mobilization of the coronoid process of the mandible in continuity with the insertion of the temporalis muscle via a nasolabial fold approach, using fascial strips to re-create movement around the mouth, is presented.

KEYWORD

Facial nerve paralysis - facial reanimations - temporalis transfer

REFERENCES

  • 1 Harrison D H. The pectoralis minor vascularized muscle graft for the treatment of unilateral facial palsy.  Plast Reconstr Surg . 1985;  75 206
    CrossrefPubMedGoogle Scholar
  • 2 Gillies H D. Experiences with fascia lata grafts in the operative treatment of facial paralysis.  Proc R Soc Med . 1934;  27 1372-1378
    PubMedGoogle Scholar
  • 3 Freeman B S. Facial palsy. In: Converse JM, ed. Reconstructive Plastic Surgery Philadelphia: WB Saunders; 1964
    Google Scholar
  • 4 Freeman B S. Late reconstruction of the lax oral sphincter in facial paralysis.  Plast Reconstr Surg . 1973;  51 144-148
    PubMedGoogle Scholar
  • 5 Andersen J G. Surgical treatment of lagophthalmos in leprosy by the Gillies temporalis transfer.  Br J Plast Surg . 1961;  14 339-345
    CrossrefPubMedGoogle Scholar
  • 6 Rubin L R. Reanimation of the Paralyzed Face.  St Louis, MO: Mosby; 1977
    Google Scholar
  • 7 Baker D C, Conley J. Regional muscle transposition for rehabilitation of the paralysed face.  Clin Plast Surg . 1979;  6 317-331
    Google Scholar
  • 8 McLaughlin C R. Surgical support in permanent facial paralysis.  Plast Reconst Surg . 1953;  11 302-314
    CrossrefPubMedGoogle Scholar
  • 9 Breidah A F, Morrison W A, Donato R R, Riccio M, Theile D R. A modified surgical technique for temporalis transfer.  Br J Plast Surg . 1996;  49 46-51
    CrossrefPubMedGoogle Scholar
  • 10 Croxson G R, Quinn M J. Modified temporalis transfer for facial paralysis. In: Yanagihara N, ed. New Horizons in Facial Nerve Research and Facial Expression The Hague, The Netherlands: Kugler 1998: 507-511
    Google Scholar