Management of the paralyzed face using temporalis tendon transfer via intraoral and transcutaneous approach

Choi, Ji Yun; Kim, Hyojoon; Moon, Seong-Yong

doi:10.1186/s40902-018-0160-6

Cited by 8 publications

(9 citation statements)

References 25 publications

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“…In selected cases, a smile procedure can be performed, either by nerve transfer technique, which uses the masseteric nerve to restore innervation in the free gracilis, or by muscle transfer technique (lengthening of the temporalis muscle and suturing it to selected points on the ipsilateral corner of the mouth). 5 …”

Section: Discussionmentioning

confidence: 99%

“…Even though MBS patients frequently undergo surgical procedures addressing bone deformities, breathing or feeding difficulties or ophthalmological dysfunction, no curative therapeutic resources exist, so early recognition and intervention could improve the outcome on patient's life expectancy and quality of life. In selected cases, a smile procedure can be performed, either by nerve transfer technique, which uses the masseteric nerve to restore innervation in the free gracilis, or by muscle transfer technique (lengthening of the temporalis muscle and suturing it to selected points on the ipsilateral corner of the mouth) 5 …”

Section: Discussionmentioning

confidence: 99%

“…In selected cases, a smile can be performed, either by nerve transfer technique, which uses the masseteric nerve to restore innervation in the free gracilis, or by muscle transfer technique (lengthening of the temporalis muscle and suturing it to selected points on the ipsilateral corner of the mouth). 5 Even though respiratory failure is uncommon in MBS newborn, 6 different levels of respiratory distress as a consequence of the disease have been described in such patients.…”

Section: Discussionmentioning

confidence: 99%

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Moebius syndrome—Case report

Gheorghe

Stanciu

Zamfir-Chiru-Anton

et al. 2022

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Moebius syndrome—Case report

Gheorghe

Stanciu

Zamfir-Chiru-Anton

et al. 2022

Clinical Case Reports

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“…Compared with the traditional retrograde temporal muscle procedure, the orthodromic transposition, without changing its direction, prevents production of a softtissue protrusion overlying the zygomatic arch if the muscle is reflected over the arch of the zygoma, altering the dynamics of contraction, which may result in ischemia and decreased contractile strength. 15 However, modified techniques of temporalis muscle transposition have been developed, including the use of slips of temporalis fascia passed to reach the contralateral paramedian plane. 16 Good aesthetic and functional results were achieved.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Facial Reanimation in an Overweight Patient and with Significant Comorbidities: An Objective Analysis of Labbè Technique

et al. 2021

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Gracilis free muscle transfer is considered the gold standard technique for facial reanimation in cases of facial palsy. However, it is limited by its long operative and recovery times, the need for a second surgical site, and its outcomes that can sometimes show midfacial bulk and oral commissure malposition. Facial reanimation with lengthening temporalis myoplasty (LTM)—Labbé technique— carries the advantage of having a shorter surgical time, a faster recovery, and being a less invasive surgery. Almost all patients included in studies of LTM were evaluated by subjective methods, and very little quantifiable data was available. A 64-year-old woman presented with long-standing incomplete right facial palsy secondary to acoustic neuroma surgery. Since she was overweight (body mass index [BMI]: 43.9) and had several cardiovascular comorbidities (hypertension, dyslipidemia), she was not a good candidate for gracilis free muscle transfer. She was submitted to facial reanimation with LTM. Fourteen months after surgery, she presented excellent facial symmetry, both at rest and in contraction, while smiling. She was evaluated with the Facegram-3D, a technology that we have developed for dynamic evaluation of facial muscle contraction. The analysis showed symmetry at rest and contraction, according to Terzis and Noah. Regarding vertical and horizontal displacement, the postoperative movement was synchronized and with less fluctuations when compared with the preoperative period. Notably, the anatomical pair's trajectories were smoother. Similar velocity profiles were found between anatomical pairs, with less abrupt changes in velocity values, further supporting improved movement control. Comparing the symmetry index, which takes a theoretical maximum of 1.0 for perfect 3D symmetry, its value was 0.56 for the commissures and 0.5 for the midpoints in the preoperative period, having improved to 0.91 and 0.82, respectively, 3 months postoperatively. Good aesthetic and functional results were achieved using the Labbè technique. LTM is a good option in cases of long-standing facial paralysis, if the patient desires a single-stage procedure with almost immediate dynamic function. Moreover, this technique assumes extreme importance in facial reanimation of patients of advanced age, overweight, or those who have several comorbidities.

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“…Both gracilis muscle free flap transfer and temporalis tendon transfer techniques improve mouth symmetry at rest and during smile, but a better excursion was observed with gracilis free muscle transfer [3]. Many variants of temporalis transposition have been described, using it in an orthodromic or antidromic manner, with or without the use of a fascia sling [4][5][6][7][8]. The present study describes a modification of the orthodromic technique using a cryopreserved fascia lata allograft.…”

Section: Introductionmentioning

confidence: 96%

Cryopreserved fascia lata allograft use in surgical facial reanimation: a retrospective study of seven cases

Silan

Consiglio

Dell’Antonia

et al. 2020

Maxillofac Plast Reconstr Surg

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Background: Facial palsy treatment comprises static and dynamic techniques. Among dynamic techniques, local temporalis transposition represents a reliable solution to achieve facial reanimation. The present study describes a modification of the temporalis tendon transfer using a cryopreserved fascia allograft. Case presentation: Between March 2015 and September 2018, seven patients with facial palsy underwent facial reanimation with temporalis tendon transfer and fascia lata allograft. Patients with long-term palsy were considered, and both physical and social functions were evaluated. The mean follow-up time was 21.5 months. No immediate complications were observed. Patients reported improvement in facial symmetry both in static and dynamic. Improvement was noticed also in articulation, eating, drinking, and saliva control. The Facial Disability Index revealed an improvement both in physical function subscale and in the social/well-being function subscale. Conclusions: This modified orthodromic technique allows to reduce the operative time and the risk of complications connected to the use of autologous tissues. The use of the cryopreserved fascia allografts from cadaveric donors seems to provide promising and long-standing results in the treatment of facial palsy.

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Management of the paralyzed face using temporalis tendon transfer via intraoral and transcutaneous approach

Cited by 8 publications

References 25 publications

Moebius syndrome—Case report

Moebius syndrome—Case report

Dynamic Facial Reanimation in an Overweight Patient and with Significant Comorbidities: An Objective Analysis of Labbè Technique

Cryopreserved fascia lata allograft use in surgical facial reanimation: a retrospective study of seven cases

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