Background: Facial paralysis is the most common pathology
of the cranial nerves. The most reliable muscle transfers
presently being used include the temporalis and masseter
transfers. The aim of this study is to evaluate the clinical
usefulness of transposition of the temporalis muscle in treating
long-standing facial palsy.
Methods: Ten patients attended the outpatient clinic of
Plastic Surgery Department at Assiut University Hospital
between April, 2014 and May, 2015 with unilateral longstanding
facial nerve paralysis. Temporalis muscle transfer used
for correction of eye and mouth movements to improve facial
symmetry at rest as well as to recreate a new smile.
Results: Patient satisfaction was moderate to high. Patients
photographs were generally evaluated as good. There was no
donor site morbidity noted after the surgery.
Conclusion: Using temporalis muscle transfer for correction
of eye closure in patients with longstanding facial paralysis
is superior to other classic methods