Archives of Plastic Surgery

  • 제50권1호
  • /
  • Pages.42-48
  • /
  • 2023
  • /
  • 2234-6163(pISSN)
  • /
  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Surgical Anatomy of Temporalis Muscle Transfer with Fascia Lata Augmentation for the Reanimation of the Paralyzed Face: A Cadaveric Study

  • Yi Zhang (Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna) ;
  • Johannes Steinbacher (Plastic and Reconstructive Surgery, Department of Surgery, Hospital Divine Saviour) ;
  • Wolfgang J. Weninger (Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna) ;
  • Ulrike M. Heber (Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna) ;
  • Lukas Reissig (Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna) ;
  • Erdem Yildiz (Center for Anatomy and Cell Biology, Division of Anatomy, Medical University of Vienna) ;
  • Chieh-Han J. Tzou (Plastic and Reconstructive Surgery, Department of Surgery, Hospital Divine Saviour)
  • 투고 : 2022.04.03
  • 심사 : 2022.08.12
  • 발행 : 2023.01.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background The temporalis muscle flap transfer with fascia lata augmentation (FLA) is a promising method for smile reconstruction after facial palsy. International literature lacks a detailed anatomical analysis of the temporalis muscle (TPM) combined with fascia lata (FL) augmentation. This study aims to describe the muscle's properties and calculate the length of FL needed to perform the temporalis muscle flap transfer with FLA. Methods Twenty nonembalmed male (m) and female (f) hemifacial cadavers were dissected to investigate the temporalis muscle's anatomy. Results The calculated minimum length of FL needed is 7.03cm (f) and 5.99cm (m). The length of the harvested tendon is 3.16cm/± 1.32cm (f) and 3.18/± 0.73cm (m). The length of the anterior part of the temporalis muscle (aTPM) is 4.16/± 0.80cm (f) and 5.30/± 0.85cm (m). The length of the posterior part (pTPM) is 5.24/± 1.51cm (f) and 6.62/± 1.03cm (m). The length from the most anterior to the most posterior point (aTPMpTPM) is 8.60/± 0.98cm (f) and 10.18/± 0.79cm (m). The length from the most cranial point to the distal tendon (cTPMdT) is 7.90/± 0.43cm (f) and 9.79/± 1.11cm (m). Conclusions This study gives basic information about the temporalis muscle and its anatomy to support existing and future surgical procedures in their performance. The recommended minimum length of FL to perform a temporalis muscle transfer with FLA is 7.03cm for female and 5.99cm for male, and minimum width of 3 cm. We recommend harvesting some extra centimeters to allow adjusting afterward.

키워드

참고문헌

  1. Holland NJ, Weiner GM. Recent developments in Bell's palsy. BMJ 2004;329(7465):553-557 https://doi.org/10.1136/bmj.329.7465.553
  2. Sullivan FM, Swan IR, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell's palsy. N Engl J Med 2007;357(16):1598-1607 https://doi.org/10.1056/NEJMoa072006
  3. Lee KK, Terzis JK. Management of acute extratemporal facial nerve palsy. Clin Plast Surg 1984;11(01):203-210 https://doi.org/10.1016/S0094-1298(20)32073-3
  4. Marre D, Hontanilla B. Gender differences in facial paralysis reanimation. Plast Reconstr Surg 2012;129(01):190e-192e https://doi.org/10.1097/PRS.0b013e3182362d34
  5. Terzis JK, Tzafetta K. The "babysitter" procedure: minihypoglossal to facial nerve transfer and cross-facial nerve grafting. Plast Reconstr Surg 2009;123(03):865-876 https://doi.org/10.1097/PRS.0b013e31819ba4bb
  6. Gillies H. Experiences with Fascia Lata Grafts in the Operative Treatment of Facial Paralysis: (Section of Otology and Section of Laryngology). Proc R Soc Med 1934;27(10):1372-1382
  7. McLaughlin CR. Surgical support in permanent facial paralysis. Plast Reconstr Surg 1953;11(04):302-314 https://doi.org/10.1097/00006534-195304000-00007
  8. Labbe D [Lengthening of temporalis myoplasty and reanimation of lips. Technical notes]. Ann Chir Plast Esthet 1997;42(01):44-47
  9. Balaji SM. A modified temporalis transfer in facial reanimation. Int J Oral Maxillofac Surg 2002;31(06):584-591 https://doi.org/10.1054/ijom.2002.0254
  10. Poker A, Pescarini E, Nduka C, Kannan RY. McLaughlin's legacy in the current treatment of facial palsy. Br J Oral Maxillofac Surg 2019;57(08):791-792 https://doi.org/10.1016/j.bjoms.2019.07.009
  11. Dhirawani RB, Balaji SM, Singha S, Agrawal A. Temporalis muscle transfer with fascia lata sling: A novel technique for facial reanimation. Ann Maxillofac Surg 2018;8(02):307-310 https://doi.org/10.4103/ams.ams_214_18
  12. Jose A, Nagori SA, Roy ID, Roychoudhury A. Orthodromic transfer of the temporalis tendon with extension of the fascia lata to reanimate the smile in facial palsy. Br J Oral Maxillofac Surg 2018;56(09):890-892 https://doi.org/10.1016/j.bjoms.2018.08.011
  13. Viterbo F, de Paula Faleiros HR. Orthodromic transposition of the temporal muscle for facial paralysis: made easy and better. J Craniofac Surg 2005;16(02):306-309 https://doi.org/10.1097/00001665-200503000-00019
  14. Viterbo F, Romao A, Brock RS, Joethy J. Facial reanimation utilizing combined orthodromic temporalis muscle flap and end-to-side cross-face nerve grafts. Aesthetic Plast Surg 2014;38(04):788-795 https://doi.org/10.1007/s00266-014-0357-8
  15. Terzis JK, Olivares FS. Use of mini-temporalis transposition to improve free muscle outcomes for smile. Plast Reconstr Surg 2008;122(06):1723-1732 https://doi.org/10.1097/PRS.0b013e31818a9adc
  16. Moubayed SP, Labbe D, Rahal A. Lengthening temporalis myoplasty for facial paralysis reanimation: an objective analysis of each surgical step. JAMA Facial Plast Surg 2015;17(03):179-182 https://doi.org/10.1001/jamafacial.2015.46
  17. Benateau H, Alix T, Labbe D, Elissalde JM, Salame E Anatomic study of the tendinous insertion lamina of the temporalis muscle. Surg Radiol Anat 2004;26(04):281-284 https://doi.org/10.1007/s00276-004-0230-6
  18. Guerreschi P, Labbe D. Lengthening temporalis myoplasty: a surgical tool for dynamic labial commissure reanimation. Facial Plast Surg 2015;31(02):123-127
  19. Boahene KD, Farrag TY, Ishii L, Byrne PJ. Minimally invasive temporalis tendon transposition. Arch Facial Plast Surg 2011;13(01):8-13 https://doi.org/10.1001/archfaci.2010.100
  20. Mabvuure NT, Pinto-Lopes R, Fernandez-Diaz O, Tzafetta K. The mini-temporalis turnover flap for midface reanimation: Photogrammetric and patient-rated outcomes. J Plast Reconstr Aesthet Surg 2020;73(12):2185-2195 https://doi.org/10.1016/j.bjps.2020.05.059