Facial nerve paralysis - Orthodromic temporalis tendon transfer

Considerations

• • Anatomy 

  • 2012: Orthodromic temporalis tendon transfer: anatomical considerations

• • • Key structures to keep in mind

      • Parotid duct

      • Temporalis tendon

      • Masseteric artery

      • Facial nerve 

      • Internal maxillary artery 

      • Inferior alveolar nerve

• • Indications 

  • Special patients 

    • Children

    • 2014: Dynamic Facial Reanimation With Orthodromic Temporalis Tendon Transfer in Children

    • Irradiated patients

    • 2012: Outcomes Following Temporalis Tendon Transfer in Irradiated Patients

  • Approach

    • Pre-auricular 

    • 2007: Temporalis tendon transfer as part of a comprehensive approach to facial reanimation

• • • Melo-labial crease 

    • 2011: Modification of the orthodromic temporalis tendon transfer technique for reanimation of the paralyzed face

    • 2011: Minimally invasive temporalis tendon transposition

    • 2012: Outcomes Following Temporalis Tendon Transfer in Irradiated Patients

    • Intra-oral 

    • 2014: Dynamic Facial Reanimation With Orthodromic Temporalis Tendon Transfer in Children

    • 2015: Transoral orthodromic temporalis muscle transfer technique for dynamic reanimation of the paralysed face

• • Lengthening with fascia lata 

  • 2014: In Vivo Excursion of the Temporalis Muscle-Tendon Unit Using Electrical Stimulation Application in the Design of Smile Restoration Surgery Following Facial Paralysis

Preparation

Procedure

Sample operative report

Post-op

Pearls & Pitfalls

High-Yield

Links