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A Comparison of Temporalis Transfer and Free Latissimus Dorsi Transfer in Lower Facial Reanimation Following Unilateral Longstanding Facial Palsy

Cuccia, Giuseppe MD*; Shelley, Odhran FRCSI*; d'Alcontres, Francesco Stagno MD; Soutar, David S. ChM, FRCS Glasgow and Edinburgh*; Camilleri, Ivan G. FRCS (Plast)*

doi: 10.1097/
Original Article

The ultimate goal in the treatment of facial palsy is the restoration of voluntary and spontaneous movement to the paralyzed side of the face, symmetrical to the normal side. We report our experience treating 40 patients with established facial palsy over a 4-year period. All patients underwent either temporalis transfer or free latissimus dorsi transfer as a single stage to improve lower facial symmetry. We believe that both techniques reliably achieve an increase of movement in facial reanimation after oncological, traumatic, or congenital facial palsy.

Forty patients with established facial palsy were treated with temporalis transfer or free latissimus dorsi transfer for lower facial symmetry. Those treated with latissimus transfer were slightly superior in symmetry, muscle tone and expression.

From the *West of Scotland Regional Plastic Surgery Unit, Canniesburn Hospital, Glasgow, Scotland; and the †Division of Plastic and Reconstructive Surgery, University of Messina, Messina, Italy.

Received December 9, 2003 and accepted for publication, after revision, June 24, 2004.

Reprints: Giuseppe Cuccia, MD, Clinical Research Fellow, Canniesburn Plastic Surgery Unit, Mr. Camilleri's Office, Jubilee Building, Glasgow Royal Infirmary Site, Castle Street, Glasgow G4 0SF, Scotland. E-mail:

© 2005 Lippincott Williams & Wilkins, Inc.