Alternative facial reanimation by masseter muscle transposition combined with tensor fascia lata using the zygomatic arch as a pulley (brief title): Facial reanimation by masseter muscle transposition

We have created an alternative method for facial reanimation. This new surgical procedure involves masseter muscle transposition combined with tensor fascia lata, and the zygomatic arch is used as a trochlea to achieve reconstruction of inferior facial paralysis. This method was used on five patients with facial palsy after excision of a malignant parotid tumour. Wide skin defect exposing the masseter muscle after total parotidectomy was reconstructed with free flap. The concept of this method differs from those underlying other masseter muscle transposition methods for facial reanimation in that force is applied at an upper lateral angle. Our method provided dynamic elevations of the upper lip, the corner of the mouth, and the nasolabial fold for four patients. Thus, we consider our method useful, especially for prompt surgical reconstruction of facial palsy after total parotidectomy with wide cheek skin defect.