Lengthening temporalis myoplasty: a surgical tool for dynamic labial commissure reanimation.

摘要: Lengthening temporalis myoplasty (LTM), first described by Labbe in 1997, ensures the transfers of entire temporal muscle from coronoid process to upper half lip without interposition aponeurotic tissue. The changes function because it is entirely mobilized toward another effector: labial commissure. Thanks brain plasticity, loses its chewing function, and after 6 months speech rehabilitation acquires new smiling function. We describe technical points especially approaches both through an fossa approach a lower nasolabial fold approach. Rehabilitation starts 3 weeks surgery following standardized protocol move mandibular smile voluntary, then spontaneous, three steps. LTM main part one-stage global treatment paralyzed face. It constitutes dynamic palliative usually started at sequelae stage, 18 month outcome peripheral facial paralysis. This procedure reproducible relevant surgical technique difficult allows implementing active transfer reanimate commissure re-create mobile fold.