Facial paralysis is the most common pathologyof the cranial nerves. The most reliable muscle transferspresently being used include the temporalis and massetertransfers. The aim of this study is to evaluate the clinicalusefulness of transposition of the temporalis muscle in treatinglong-standing facial palsy.

Methods

Ten patients attended the outpatient clinic ofPlastic Surgery Department at Assiut University Hospitalbetween April, 2014 and May, 2015 with unilateral longstandingfacial nerve paralysis. Temporalis muscle transfer usedfor correction of eye and mouth movements to improve facialsymmetry at rest as well as to recreate a new smile.

Results

Patient satisfaction was moderate to high. Patientsphotographs were generally evaluated as good. There was nodonor site morbidity noted after the surgery.

Conclusion

Using temporalis muscle transfer for correctionof eye closure in patients with longstanding facial paralysisis superior to other classic methods