Temporalis Muscle Transfer for Long-Standing Facial Paralysis | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 13, Volume 44, Issue 2, April 2020, Pages 332-335 PDF (7.73 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2020.113496 | ||
| Authors | ||
| Ahmed M. Gamal* 1; Mostafa Elsonbaty1; Ahmed Eltayeb2; Ahmed M. Tohamy* 3; Ahmed Abdel Rahim3; Wael Saad Eldin3 | ||
| 1The Department of Plastic Surgery , Faculty of Medicine, Assiut University | ||
| 2The Department of Pediatric Surgery, Faculty of Medicine, Assiut University | ||
| 3The Department of Plastic Surgery , Faculty of Medicine, Assiut University | ||
| 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 | ||
| Temporalis; Facial nerve; Facial paralysis | ||
| References | ||
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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 | ||
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