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

Modified temporalis tendon transfer extended with periosteum for facial paralysis patients

“…Despite a shorter length and a smaller width of the periosteum, there were no complications due to the use of shorter T-P compound in our series. Presumably, this might be because the orthodromic transfer of temporalis muscle tendon transfer can be done without fascia lata graft [5,10]. It is also possible to extend the length even when the length is deemed insufficient.…”

“…Modified temporalis tendon transfer extended with periosteum for facial paralysis patients transfer of the temporalis muscle tendon, improving the method of antidromic turnover [9], a minimally-invasive transposition of the temporalis muscle tendon solely using the skin incision or oral incision [5,10], and the transfer of the temporalis muscle tendon using a fascia lata graft. Of these, use of a fascia lata graft has been reported to be advantageous in lengthening the temporalis muscle tendon and correcting the philtrum deviation.…”

Transoral orthodromic temporalis muscle transfer technique for the paralysed midface: Our learning curve experience from the first 10 cases

“…The most common non-epithelial tumour is chondrosarcoma, which represents 0.5% of laryngeal tumours. 3 From the therapeutic approach, surgery is the cornerstone of treatment. Because many of these tumours are pediculated, they have a lower tendency for distant dissemination and remain amenable to surgical resection for a longer period of time.…”

“…McLaughlin later modified this technique in the 1950s without inversion of the temporal muscle but in an orthodromic manner, thus avoiding the soft‐tissue fullness over the zygomatic arch area and depression of the donor site . Although several refinements of this technique have been described, all required skin incisions on the face until a transoral technique was described recently by this clinical group…”

“…1 McLaughlin later modified this technique in the 1950s without inversion of the temporal muscle but in an orthodromic manner, thus avoiding the soft-tissue fullness over the zygomatic arch area and depression of the donor site. 2 Although several refinements of this technique have been described, all required skin incisions on the face until a transoral technique was described recently by this clinical group 3 The aim of this study was to review clinical outcomes of this minimally invasive technique and present the experiences of the first 10 consecutive cases during the learning curve period of one consultant surgeon (SCL).…”