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

Patrick J. Byrne, Michael Kim, Kofi Boahene, Jennifer Millar, Kris Moe

Research output: Contribution to journalArticle

68 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)234-241
Number of pages8
JournalArchives of Facial Plastic Surgery
Volume9
Issue number4
DOIs
StatePublished - Jul 2007
Externally publishedYes

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Tendon Transfer
Facial Paralysis
Patient Satisfaction
Smiling
Facial Asymmetry
Physicians
Muscles
Medical Records
Drainage
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Temporalis tendon transfer as part of a comprehensive approach to facial reanimation. / Byrne, Patrick J.; Kim, Michael; Boahene, Kofi; Millar, Jennifer; Moe, Kris.

In: Archives of Facial Plastic Surgery, Vol. 9, No. 4, 07.2007, p. 234-241.

Research output: Contribution to journalArticle

Byrne, Patrick J. ; Kim, Michael ; Boahene, Kofi ; Millar, Jennifer ; Moe, Kris. / Temporalis tendon transfer as part of a comprehensive approach to facial reanimation. In: Archives of Facial Plastic Surgery. 2007 ; Vol. 9, No. 4. pp. 234-241.
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