Abstract
Background: The functional, cosmetic and psychological effects of longstanding
facial palsy are considerable. Temporalis muscle has proven to be a reliable and
versatile flap for muscle transposition in treatment of long-standing facial paralysis However temporalis muscle is short and failed to reach sufficiently large areas. Our goal is to use temporalis galea and periosteal extension as part of a comprehensive approach to facial reanimation to achieve a dynamic rehabilitation of the eyelids and mouth, to allow closure of eyes and symmetry and satisfactory when smiling.
Patients and methods: This study included 16 patients presented by facial palsy in a period from January 2015 to February 2018. Their age ranged from 12 years to 65 years. 15 facial palsy patients were unilateral, and one was bilateral. 6 (37.5%) patients were males and 10(62.5%) were female. Results: good result was achieved in all patients during follow-up. One of the patients required a revision of surgery for unacceptable asymmetry. Bulging of the temporal and malar regions on eye closure was found in three patients, and hollow deformity of the temporal region was obvious in one patient. No muscle atrophy since vascularity and innervation is maintained. The follow-up time of patients ranged from 6 to 24 months, Conclusion: This simple procedure has helped reconstruction of natural symmetrical smile and closure of the eye with highly successful results.