Lengthening temporalis myoplasty: Outcome and radiographic anatomical evaluation of length required

Re: ‘Lenghtening temporalis myoplasty: Outcome and radiographic anatomical evaluation of length required’

“…Furthermore, the insertion of the temporalis muscle tendon is not done on the modiolus but rather on the orbicularis oris, which is located a little higher. This could partly be explained by the difference between the lengthening obtained (40 mm) and the distance coronoid process-commissure (58 mm) measured by Butler et al 1 Moreover, it is essential to previously treat the side opposite to the commissure needing reanimation; the "healthy side" is indeed drawn by the overactivity of the elevator muscles (zygomaticus major and minor). These muscles need to be treated with Botulinum toxin before performing the LTM.…”