Temporalis Muscle Transfer for Long-Standing Facial Paralysis

Gamal, Ahmed M.; Elsonbaty, Mostafa; Eltayeb, Ahmed; Tohamy, Ahmed M.; Abdel Rahim, Ahmed; Saad Eldin, Wael

doi:10.21608/ejprs.2020.113496

Temporalis Muscle Transfer for Long-Standing Facial Paralysis

Document Type : Original Article

Authors

¹ The Department of Plastic Surgery , Faculty of Medicine, Assiut University

² The Department of Pediatric Surgery, Faculty of Medicine, Assiut University

10.21608/ejprs.2020.113496

Abstract

Background: Facial paralysis is the most common pathology
of the cranial nerves. The most reliable muscle transfers
presently being used include the temporalis and masseter
transfers. The aim of this study is to evaluate the clinical
usefulness of transposition of the temporalis muscle in treating
long-standing facial palsy.
Methods: Ten patients attended the outpatient clinic of
Plastic Surgery Department at Assiut University Hospital
between April, 2014 and May, 2015 with unilateral longstanding
facial nerve paralysis. Temporalis muscle transfer used
for correction of eye and mouth movements to improve facial
symmetry at rest as well as to recreate a new smile.
Results: Patient satisfaction was moderate to high. Patients
photographs were generally evaluated as good. There was no
donor site morbidity noted after the surgery.
Conclusion: Using temporalis muscle transfer for correction
of eye closure in patients with longstanding facial paralysis
is superior to other classic methods

Keywords

Main Subjects

Reconstructive surgery

References

1- Gerd F. Volk, Mira Pantel and Orlando Guntinas-Lichius:
Modern concepts in facial nerve reconstruction. Head &
Face Medicine, 6: 25, 2010.
2- Terzis J.K. and Konofaos P.: Nerve transfers in facial
palsy. Facial Plast. Surg. May, 24 (2): 177-93, 2008.
3- Eyal Gur M.D., Shy Stahl M.D., Yoav Barnea M.D. and
David Leshem M.D.: Comprehensive Approach in Surgical
Reconstruction of Facial Nerve Paralysis: A 10-year
Prospective Journal of Reconstructive Microsurgery, 26:
171-180, 2010.
4- Rathishree M.P. and Santhosh Kumar: Dynamic reanimation
for facial paralysis. Int. J. Pharm. Bio. Sci. April, 6
(2): (B) 1327-1334, 2015.
5- Rubin L.R.: The anatomy of a smile: Its importance in
the treatment of facial paralysis. Plast. Reconstr. Surg.,
53 (4): 384-387, 1974.
6- Patrick J. Byrne, M.D.; Michael Kim, M.D.; Kofi Boahene,
M.D.; Jennifer Millar, MSPT and Kris Moe, M.D.: Arch.
Facial Plast. Surg., 9 (4): 234-24, 2007