Temporalis Muscle Transfer for Long-Standing Facial Paralysis

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چکیده

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Temporalis Tendon Transfer for the Treatment of Longstanding Facial Paralysis

Facial paralysis is a devastating condition with a severe emotional impact on patients as it significantly affects appearance and impairs function. Patients complain of not being able to hold food and liquid in their mouth, not being able to speak clearly, and not being able to smile. T h e i n a b i l i t y t o s m i l e i s o f t e n psychologically troubling to patients. This presents a chal...

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Translocation of the temporalis muscle for treatment of facial paralysis.

Our purpose was to characterize in the rhesus monkey the structure and function of vascularized temporalis muscle flaps innervated by the facial nerve after translocation into the site of the denervated zygomaticus muscle. Animals were killed at 28 to 120 days following translocation. Control data were obtained from the contralateral side. Twenty-eight days after translocation, the time to reac...

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A comprehensive approach to long-standing facial paralysis based on lengthening temporalis myoplasty

Long-standing peripheral monolateral facial paralysis in the adult has challenged otolaryngologists, neurologists and plastic surgeons for centuries. Notwithstanding, the ultimate goal of normality of the paralyzed hemi-face with symmetry at rest, and the achievement of a spontaneous symmetrical smile with corneal protection, has not been fully reached. At the beginning of the 20(th) century, t...

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Principles and biomechanics of muscle tendon unit transfer: application in temporalis muscle tendon transposition for smile improvement in facial paralysis.

Muscle tendon unit (MTU) transfer is a common procedure performed to restore hand function after peripheral nerve or spinal cord injury. The principles of MTU transfer established for hand surgery can be adopted to optimize the dynamic excursion of the temporalis tendon transfer procedure for facial reanimation. Additionally, the force generating ability of a transferred MTU depends on the idea...

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Temporalis muscle-galea pedicled flap for reconstruction of longstanding facial paralysis.

Reanimation of longstanding facial paralysis is a difficult clinical problem commonly tackled with the method of pedicled muscle flap transfer. The temporalis muscle has been the most popular. In the past, one common problem was that the flap was not long enough to reach parts of the face distant from the affected area. To overcome this disadvantage, we have devised a flap consisting of the ped...

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ژورنال

عنوان ژورنال: The Egyptian Journal of Plastic and Reconstructive Surgery

سال: 2020

ISSN: 1110-0044

DOI: 10.21608/ejprs.2020.113496