Abstract

PINGARRON MARTIN, L. et al. Temporalis lengthening myoplasty for rehabilitation of hemifacial paralysis. Rev Esp Cirug Oral y Maxilofac [online]. 2011, vol.33, n.1, pp.35-39. ISSN 2173-9161.

Permanent facial paralysis is one of the most important sequelae of maxillofacial surgery. The surgical technique presented here modifies the point of temporal insertion and transposes the mobile coronoid point to the lips. The entire temporalis muscle with pedicle is transferred. The rehabilitation is described. Redistribution of the muscle fibers at the expense of the posterior third of the muscle was reported by Labbé and makes it possible to obtain the lengthening required to bridge the distance between the coronoid process and lip commissure. This procedure is easier, quicker and has more simplified postoperative care than microsurgical rehabilitation, while resulting in a voluntary smile independent of mandibular movements.

Keywords : Temporal muscle; Facial palsy; Myoplasty; Labbé technique.

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