Facial Plast Surg 2008; 24(2): 204-210
DOI: 10.1055/s-2008-1075835
© Thieme Medical Publishers

Dynamic Muscle Transfer in Facial Reanimation

Kofi D.O Boahene1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Further Information

Publication History

Publication Date:
09 May 2008 (online)

ABSTRACT

Dynamic muscle transfers offer the hope of improved facial support and symmetry, with volitional movement. These are most commonly employed for reanimation of the oral commissure to produce a smile. In addition, muscle transfers have been used successfully to reestablish eye closure. Facial paralysis of long-standing duration presents challenges quite distinct from paralysis that is managed early after onset. It is in this situation, most commonly, that dynamic muscle transfers are used. In this respect, the alternative is free tissue transfer. Each of these two options have advantages and disadvantages.

REFERENCES

  • 1 Rubin LR Reanimation of the Paralyzed Face. St. Louis, MO; C.V. Mosby 1977
  • 2 Eden R. Über die chirurgische Behandlung der peripheren Facialislähmung.  Beitr Klin Chir. 1911;  73 116
  • 3 Baker D C, Conley J. Regional muscle transposition for rehabilitation of the paralyzed face.  Clin Plast Surg. 1979;  6 317-331
  • 4 Burggasser G, Happak W MD, Gruber H MD, Freilinger G MD. The temporalis: blood supply and innervation.  Plast Reconstr Surg. 2002;  109 1862-1869
  • 5 Sherris D A. Refinement in reanimation of the lower face.  Arch Facial Plast Surg. 2004;  6 49-53
  • 6 Lambert-Prou M P. The temporal smile. Speech therapy for facial palsy patients after temporal lengthening myoplasty.  Rev Stomatol Chir Maxillofac. 2003;  104 274-280
  • 7 Brand P W. Mechanics of tendon transfers. In: Mackin EJ, Callahan AD, Skirven TM, Schneider LH, Osterman AL Rehabilitation of the Hand and Upper Extremity. Vol 1. 5th ed. St. Louis, MO; C.V. Mosby 2002: 779-791
  • 8 McLaughlin C R. Permanent facial paralysis.  Lancet. 1952;  2 647-651
  • 9 Byrne P J, Kim M, Boahene K, Moe K. Temporalis tendon transfer as part of a comprehensive approach to facial reanimation.  Arch Facial Plast Surg. 2007;  9 234-241
  • 10 Benateau H, Alix T, Labbe D, Elissalde J M, Salame E. Anatomic study of the tendinous insertion lamina of the temporalis muscle.  Surg Radiol Anat. 2004;  26 281-284
  • 11 Croxson G R, Quinn M J, Coulson S E. Temporalis muscle transfer for facial paralysis: a further refinement.  Facial Plast Surg. 2000;  16 351-356
  • 12 Edgerton M T. Surgical correction of facial paralysis: a plea for better reconstruction.  Ann Surg. 1967;  165 985-998
  • 13 Conley J, Baker D C. Paralysis of the mandibular branch of the facial nerve.  Plast Reconstr Surg. 1982;  70 569-577
  • 14 Tulley P, Webb A, Chana J S et al.. Paralysis of the marginal branch of the facial nerve: treatment options.  Br J Plast Surg. 2000;  53 378-385
  • 15 Coulson S E, Adams R D, O'Dwyer N J, Croxson G R. Physiotherapy rehabilitation of the smile after long-term facial nerve palsy using video self-modeling and implementation intentions.  Otolaryngol Head Neck Surg. 2006;  134 48-55
  • 16 Rubin L R. The anatomy of a smile: its importance in the treatment of facial paralysis.  Plast Reconstr Surg. 1974;  53 384-387
  • 17 Kang Y S, Bae Y C, Hwang S M, Nam S B. A simple and quantitative method for three-dimensional measurement of normal smiles.  Ann Plast Surg. 2005;  54 379-383
  • 18 Frey M, Giovanoli P, Gerber H, Slameczka M, Stussi E. Three-dimensional video analysis of facial movement; a new method to assess the quantity and quality of the smile.  Plast Reconstr Surg. 1999;  104 2032-2039
  • 19 Frey M, Giovanoli P, Tzou Chieh-Han J, Kropf N, Friedl S. Dynamic reconstruction of eye closure by muscle transposition or functional muscle transplantation in facial palsy.  Plast Reconstr Surg. 2004;  114 865-875
  • 20 Manktelow R T, Zucker R M. Muscle transplantation by fascicular territory.  Plast Reconstr Surg. 1984;  73 751-757
  • 21 Cavadas P C, Sanz-Gimenez J R, Landin L, Martinez-Soriano F. Segmental Gracilis free flap based on secondary pedicles: anatomical study and clinical series.  Plast Reconstr Surg. 2004;  114 684-691
  • 22 Terzis J K, Bruno W. Outcomes with eye reanimation microsurgery.  Facial Plast Surg. 2002;  18 101-112

Kofi D.O BoaheneM.D. 

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine

601 N. Caroline Street, Baltimore, MD 21287

    >