Temporalis Muscle Transfer. The major problems in paralytic eyelids are the inability to close the eye lower lid sagging and epiphora. 1department of plastic and reconstructive surgery celal bayar university medical school manisa turkey.
The major problems in paralytic eyelids are the inability to close the eye lower lid sagging and epiphora. Yoleri l1 songür e. In humans the temporalis muscle arises from the temporal fossa and the deep part of temporal fasciathis is a very broad area of attachment.
Minimally invasive temporalis tendon transfer technique is performed in patients with old facial nerve paralysis which is mostly impossible to regenerate.
The temporalis muscle is used in dynamic procedures as it is spared in a case of facial palsy. Mark may demonstrates his surgical technique using the transposed temporalis musce to restore a smile in a young man with congenital facial weaknessthi. Tmt was first described by sir harold gillies 1934 who detached the origin of muscle and turned it down across the zygomatic arch5. The temporalis muscle runs superficially from the temporal bone to the coronoid process of mandible.