Temporalis tendon transfer as part of a comprehensive approach to facial reanimation.

Full Abstract

OBJECTIVE: To report an approach to facial paralysis in patients for whom dynamic adjacent muscle transfer is determined to be the best treatment option. METHODS: Retrospective review of 7 consecutive patients who underwent orthodromic transfer of the temporalis muscle insertion for the treatment of long-standing facial paralysis. Patients underwent facial-retraining physical therapy before and shortly after the procedure. Outcomes measured included patient satisfaction, objective measurements of oral commissure elevation with smiling, and physician grading of preoperative and postoperative patient photographs. Medical records were reviewed for complications. RESULTS: Patient satisfaction was high, with a mean score of 8.5 (possible score of 10). Four patients were physician graded as excellent to superb. The other 3 patients were rated as having good postoperative results. Movement was identified in every patient and ranged from 1.6 to 8.5 mm, with mean movement of the oral commissure of 4.2 mm. One patient developed postoperative salivary fluid collection that required drainage. CONCLUSIONS: Temporalis tendon transfer is a relatively easy procedure to perform that has distinct advantages compared with other forms of facial reanimation and provides very good results. This procedure results in improved form and function, may often be performed in a minimally invasive manner, and eliminates the facial asymmetry typically produced by temporalis transfer.

Author information

Author/s: Byrne, Patrick J (PJ); Kim, Michael (M); Boahene, Kofi (K); Millar, Jennifer (J); Moe, Kris (K);

Affiliation: Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery,The Johns Hopkins University School of Medicine, Baltimore, MD, USA. pbyrne2(-atsign-)jhmi.edu

Journal and publication information

Publication Type: Journal Article

Journal: Archives of facial plastic surgery : official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies (Arch Facial Plast Surg), published in United States. (Language: eng)

Reference: -2007 Jul-Aug; vol 9 (issue 4) : pp 234-41

Dates: Created 2007/07/19; Completed 2007/09/06;

PMID: 17638756, status: MEDLINE (last retrieved date: 2/18/2009)

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