Facial Nerve Reanimation with Temporalis Muscle Lengthened By Temporalis Fascia: Facial Nerve Reanimation With Temporalis Muscle Lengthened

Dr. Neelakamal H Hallur; Dr. Satyajit Dandagi; Dr. Shereen Fatima; Dr. Syed Zakaullah

Authors

Dr. Neelakamal H Hallur
Dr. Satyajit Dandagi
Dr. Shereen Fatima
Dr. Syed Zakaullah

Keywords:

Facial nerve palsy, Facial nerve reanimation, Temporalis fascia, Temporalis muscle

Abstract

Management of facial paralysis varies according to the cause, the extent and type of paralysis (total vs partial, unilateral vs bilateral) as well as the duration of paralysis. Facial nerve reconstruction including restitution of the facial symmetry and facial expression is a great surgical challenge. Considering the often disappointing results achieved with the currently available techniques, a continued search for alternative donor sites seemed appropriate. Numerous techniques for facial reanimation have been developed over time, with the ultimate goal being the restoration of both function and form. A case of post traumatic facial nerve palsy managed by reanimation with temporalis muscle lengthened by temporalis fascia is discussed. [ Hallur N NJIRM 2014; 5(4) :105-107]

References

1. Ghali S, MacQuillan A, O Adrian. Grobbelaar. Reanimation of the middle and lower face in facial paralysis: Review of the literature and personal approach. J Plastn Recon Aesth Surg 2011; 64(4): 423 â€“ 431.
2. Coombs C.J, Ek E.W, Wu T, Cleland H, Leung M.K. Masseteric â€“ facial nerve coaptation â€“ an alternative technique for facial nerve reinnervation. J Plast Recon Aesth Surg 2009; 62: 1580-1588
3. Manni JJ, Beurskens CHG, Velde CVD, Stokroos RJ. Reanimation of the paralyzed face by indirect hypoglossal â€“ facial nerve anastomosis. Am J Surg 2001; 182: 268-273.
4. Tubbs RS, Loukas M, Shoja MM, Acakpo-Satchivi L, Wellons JC, Blount PJ et al. The nerve to the mylohyoid as a donor for facial nerve reanimation procedures: a cadaveric feasibility study. J Neuro surg 2007; 106(4):677-679
5. Rose EH. Autogenous Fascia lata grafts: Clinical applications in reanimation of the totally or partially paralyzed face. J Plast Recon Surg 2005; 116(1):20-32
6. Breidahl AF, Morrison WA, Donato RR, Riccio M and Theile DR. A modified surgical technique for temporalis transfer. Brit J Plast Surg 1996; 49: 46-51
7. Beurskens CHG and Heymans PG. Physiotherapy in patients with facial nerve paresis: Description of outcomes. Am J Otolaryngol 2004; 25:394-400

Facial Nerve Reanimation with Temporalis Muscle Lengthened By Temporalis Fascia