Temporal Muscle Transfer in Facial Paralysis

OBJECTIVE: Evaluation of the results of temporal muscle used in reconstruction of facial paralysis.
STUDY DESIGN: 18 patients with facial paralysis have heen operated in our clinic during 8 years. Dynamic reconstruction methods were used 12 patients, where as 6 patients had static reconstruction methods. Static method was a comhination of oral commissure with tensor fascia lata and face lifting. Dynamic method was primarily muscle transfer for both oral and ocular sphincter control. in two patients 1/2 anterior of the masseter muscle was transferred as well. Rehahilitaion programs were started on the tenth postoperative day. The minimum and maximum follow up periods were six months and four years respectively.
RESULTS: Patient population was constituted hy young and adult patients with different etiologies such as trauma, congenital anomalies and injection. Cosmetic and functional results were superior in dynamic method group compared to method group.
CONCLUSIONS: The patients who underwent temporal muscle transfer obtained symmetry at rest, adequaty controlled balance at the time of voluntary movement, and acceptable oral and ocular sphineter control.

Fasiyal Paralizide Temporal Kas Transferi

AMAÇ: Fasiyal paralizi rekonstrüksiyonu için temporal kas transferi sonuçlarýnýn deðerlendirilmesi.
MATERYAL ve METOD: Son 8 yýlda kliðinimizde 18 fasiyal paralizili hastaya rekonstrüksiyon uygulandý. Bu 18 hastanýn 12'sinde dinamik yöntemler, 6’sýnda statik yöntemler uygulandý. Statik yöntem olarak tensor fasya lata ile askýlama ve yüz germe uygulandý. Dinamik yöntem olarak temporal kas transferi tercih edildi. 2 olguda masseter kasý 1/2 ön da transfere dahil edildi. Kas transferi sonrasý 10. günde rehabilitasyona baþlandý. Olgular en kýsa 6 ay en uzun 4 yýl süre ile takip edildi.
BULGULAR: Büyük genç ve orta grubu olan hastalarýn etyolojisinde tümör, travma, anomali ve enfeksiyon mevcuttu. Kozmetik ve fonksiyonel sonuçlar dinamik yöntem gruhunda statik yöntem grubuna kýyasla daha baþarýlýydý.
SONUÇ: Temporal kas transferi uygulanan hastalarda istirahat esnasýnda simetri, istemli hareket sýrasýnda 
yeterli kontrollu denge ve kabul edilebilir oral, okuler sfinkter kontrolü saðlandý.