La myoplastie d’allongement du muscle temporal : raffinements techniques

摘要: First described by Labbe in 1997, the lengthening temporalis myoplasty (LTM) ensures transfer of entire temporal muscle from coronoid process to upper half lip without interposition aponeurotic tissue. Thanks brain plasticity, is able change its function because it entirely mobilized towards another effector: labial commissure. After 6 months speech rehabilitation, loses chewing and acquires new smiling function. We describe as far possible all technical points guide surgeons who would like perform this powerful surgical procedure. show approaches both through an fossa approach a lower nasolabial fold approach. Rehabilitation starts 3 weeks after surgery following standardized protocol move mandibular smile voluntary smile, then spontaneous steps. The LTM main part one-stage global treatment paralyzed face. It constitutes dynamic palliative usually started at sequelae stage, 18 outcome peripheral facial paralysis. This procedure reproducible relevant technique difficult An active transferred reanimate commissure recreate mobile fold.