Abstract

Temporalis tendon transfer is a technique for dynamic facial reanimation. Since its inception, nearly 80 years ago, it has undergone a wealth of innovation to produce the modern operation. Temporalis tendon transfer is a relatively minimally invasive technique for the dynamic reanimation of the paralyzed face. This technique can produce significant and appropriate movement of the lateral oral commissure, more closely mimicking the normal side. The aim of this article is to review the technique of temporalis tendon transfer involving transferring of the coronoid process of the mandible with the insertion of the temporalis tendon via intra-oral and transcutaneous approach.

Highlights

  • Long-standing facial paralysis may use reconstructive technique with neural reconstruction, muscle transposition, or transplantation [1]

  • Invasive temporalis tendon transfer technique is performed in patients with old facial nerve paralysis, which is mostly impossible to regenerate [3]

  • We evaluate the surgical technique of the temporalis tendon transfer via intraoral and transcutaneous approach and review the previous articles related to temporalis tendon transfer

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Summary

Introduction

Long-standing facial paralysis may use reconstructive technique with neural reconstruction, muscle transposition, or transplantation [1]. Temporalis muscle transfer is one of the popular methods for reanimation for facial paralysis patient [2]. Invasive temporalis tendon transfer technique is performed in patients with old facial nerve paralysis, which is mostly impossible to regenerate [3]. Pertinent anatomy (Fig. 1) The temporalis muscle is a fan-shaped muscle that is inserted into the coronoid process of the mandible from temporal fossa.

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