Modification of Technique of Temporalis Transfer for Lagophthalmos and Lip Animation

Abstract

The aim of this case report is to describe a modification of the technique of temporalis transfer for patients with paralysis of the facial neve. Primary fixation of fascia lata strips to the medial canthus, angle of mouth, lips, and ala of nose, and later executing the orthodromic transfer of a relevant segment of the muscle are the modifications to be described. Symmetry of the face, mouth, eye closure, and smooth elevation of angle of mouth were the measured outcomes by the surgeon. Our refinement of the technique is easy to perform with good results.

Keywords

• orthodromic transfer
• eye closure
• symmetry of mouth at repose
• elevation of angle of mouth