Transoral orthodromic temporalis muscle transfer technique for the paralysed midface: Our learning curve experience from the first 10 cases

Abstract

Sir Harold Gillies first described rotating a band of temporalis muscle over the zygoma where the muscle sling was augmented with strips of fascia lata to rehabilitate facial paralysis ¹. McLaughlin later modified this technique in the 1950s without inversion of the temporal muscle but in an orthodromic manner thus avoiding the soft tissue fullness over the zygomatic arch area and depression of the donor site ². Although several refinements of this technique have been described, all required skin incisions on the face until a transoral technique was described recently by this clinical group ³.

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