caa a22 4500 386345384 CHVBK 20180307111809.0 cr unu---uuuuu 161130e198907 xx s 000 0 eng 10.1017/S0022215100109697 doi S0022215100109697 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100109697 Two-stage temporalis flap reconstruction for facial paralysis [Elektronische Daten] Treatment of the paralyzed face remains a challenging surgical problem. When facial nerve damage is irreparable or facial nerve grafting has failed, static and dynamic techniques must be considered. A two-staged modification of the dynamic muscle transfer using ipsilateral temporalis muscle is described. Initially, a free temporalis fascia graft, harvested from the contralateral scalp, is placed around the oral commissure of the paralyzed side of the face through an incision in the nasolabial crease. Several weeks later, an ipsilateral temporalis muscle and fascia transfer is made to the anterior face and attached to the previously placed fascia graft. Oral commissure grafting, as a first step, provides for a secure anchoring point for the temporalis flap, and achieves a more satisfactory correction of the oral commissure. Copyright © JLO (1984) Limited 1989 Buchholtz Ben D. Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine Mickel Robert A. VAMC West Los Angeles Bredenkamp James K. Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine Hutcherson Robert W. Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine The Journal of Laryngology & Otology Cambridge University Press 103/7(1989-07), 672-674 0022-2151 103:7<672 1989 103 JLO https://doi.org/10.1017/S0022215100109697 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100109697 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Buchholtz Ben D. Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine NATIONALLICENCE 700 1- Mickel Robert A. VAMC West Los Angeles NATIONALLICENCE 700 1- Bredenkamp James K. Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine NATIONALLICENCE 700 1- Hutcherson Robert W. Division of Head and Neck Surgery, Department of Surgery, UCLA School of Medicine NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 103/7(1989-07), 672-674 0022-2151 103:7<672 1989 103 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge