Advertisement
Research Article| Volume 65, ISSUE 7, P851-856, July 2012

Refinements in smile reanimation: 10-Year experience with the lengthening Temporalis Myoplasty

Published:March 27, 2012DOI:https://doi.org/10.1016/j.bjps.2012.02.006

      Abstract

      The lengthening Temporalis Myoplasty (LTM) is an innovative dynamic facial reanimation procedure that has been used to great effect following its conception during the early 1990s by the senior author. Since its first description in the literature the technique has been refined and it has become clear from correspondence that certain technical aspects of the procedure require particular attention to detail. We discuss from experience of more than a hundred cases and highlight not only the important technical aspects of the procedure but also the importance of pre-operative assessment and the avoidance of complications.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Schiatkin B.
        • May M.
        The facial nerve: May's second edition.
        Thieme Medical Publishers, New York2000
        • Ryzenman J.M.
        • Pensak M.L.
        • Tew Jr., J.M.
        Facial paralysis and surgical rehabilitation: A quality of life analysis in a cohort of 1,595 patients after acoustic neuroma surgery.
        Otol Neurotol. 2005; 26 (discussion 521): 516-521
        • Labbe D.
        • Benateau H.
        • Bardot J.
        Surgical procedures for labial reanimation in facial paralysis.
        Ann Chir Plast Esthet. 2002; 47: 580-591
        • Rubin L.
        Reanimation of the paralysed face.
        Mosby, St. Louis1977
        • Labbe D.
        Lengthening of temporalis myoplasty and reanimation of lips. Technical notes.
        Ann Chir Plast Esthet. 1997; 42: 44-47
        • Labbe D.
        • Huault M.
        Lengthening temporalis myoplasty and lip reanimation.
        Plast Reconstr Surg. 2000; 105 (discussion 1298): 1289-1297
        • McLaughlin C.
        Surgical support in permanent facial paralysis.
        Plast Reconstr Surg. 1953; 11: 302-314
        • Gillies H.
        Experiences with fascia lata grafts in the operative treatment of facial paralysis.
        Proc R Sot Med. 1934; 27: 1372-1378
        • Paletz J.L.
        • Manktelow R.T.
        • Chaban R.
        The shape of a normal smile: Implications for facial paralysis reconstruction.
        Plast Reconstr Surg. 1994; 93 (discussion 790–1): 784-789
        • Rubin L.
        The anatomy of a smile: Its importance in the treatment of facial paralysis.
        Plast Reconstr Surg. 1974; 53: 384-387
        • Kane M.A.
        The effect of botulinum toxin injections on the nasolabial fold.
        Plast Reconstr Surg. 2003; 112 (discussion 73S–74S): 66S-72S
        • Glenn M.G.
        • Goode R.L.
        Surgical treatment of the “marginal mandibular lip” deformity.
        Otolaryngol Head Neck Surg. 1987; 97: 462-468
        • Clodius L.
        Selective neurectomies to achieve symmetry in partial and complete facial paralysis.
        Br J Plast Surg. 1976; 29: 43-52
        • Breslow G.
        • Cabiling D.
        • Kanchwala S.
        • Bartlett S.
        Selective marginal mandibular neurectomy for treatment of the marginal mandibular lip deformity in patients with chronic unilateral facial palsies.
        Plast Reconstr Surg. 2005; 116: 1223-1232
        • Cordeiro P.G.
        • Wolfe S.A.
        The temporalis muscle flap revisited on its centennial: Advantages, newer uses, and disadvantages.
        Plast Reconstr Surg. 1996; 98: 980-987
        • Kim S.
        • Matic D.B.
        The anatomy of temporal hollowing: The superficial temporal fat pad.
        J Craniofac Surg. 2005; 16: 651-654
        • Breidahl A.F.
        • Morrison W.A.
        • Donato R.R.
        • Riccio M.
        • Theile D.R.
        A modified surgical technique for temporalis transfer.
        Br J Plast Surg. 1996; 49: 46-51
        • Labbe D.
        • Hamel M.
        • Benateau H.
        Lengthening temporalis myoplasty and transfacial nerve graft (VII–V). Technical note.
        Ann Chir Plast Esthet. 2003; 48: 31-35
        • Cuccia G.
        • Shelley O.
        • d'Alcontres F.S.
        • Soutar D.S.
        • Camilleri I.G.
        A comparison of temporalis transfer and free latissimus dorsi transfer in lower facial reanimation following unilateral longstanding facial palsy.
        Ann Plast Surg. 2005; 54: 66-70
        • Har-Shai Y.
        • Gil T.
        • Metanes I.
        • Labbe D.
        Intraoperative muscle electricale stimulation for accurate positioning of the temporalis muscle tendon during dynamic, one-stage lengthening temporalis myoplasty for facial and lip reanimation.
        Plast Reconstr Surg. 2010; 126: 118-124
        • Horlock N.
        • Sanders R.
        • Harrison D.
        The SOOF lift: Its role in correcting midfacial and lower facial asymmetry in patients with partial facial palsy.
        Plast Reconst Surg. 2002; 109: 839-849
        • Labbe D.
        Myoplastie d'allongement du temporal V.2. et reanimation des levres.
        Annales de chirugie plastique esthetique. 2009; 54: 571-576
        • Har-Shai Y.
        • Metanes I.
        • Badarny S.
        • et al.
        Lengthening temporalis myoplasty for facial reanimation.
        Isr Med Assoc J. 2007 Feb; 9: 123-124