Brief Clinical StudiesA Modified Technique of Transposition of Temporalis Muscle in Selected Cases of Longstanding Facial ParalysisAskar, Sherif M. MD*; Mohammed, Nasser N. MD*; Elibiary, Hassan A.†Author Information *Department of Otorhinolaryngology Head & Neck Surgery, Zagazig University †Department of Otorhinolaryngology Head & Neck Surgery, Ain Shams University, Egypt. Address correspondence and reprint requests to Sherif M. Askar, MD, (2) Othman Bin Affan st, Zagazig City, Sharkia Governorate, Egypt; E-mail: email@example.com; firstname.lastname@example.org Received 17 January, 2019 Accepted 23 May, 2019 The authors report no conflicts of interest. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com). Journal of Craniofacial Surgery: January/February 2020 - Volume 31 - Issue 1 - p e1-e4 doi: 10.1097/SCS.0000000000005804 Buy SDC Metrics Abstract The authors present a modified technique of temporalis muscle transposition technique in cases of longstanding facial paralysis. Slips of the temporalis fascia were passed through the tunnels to reach the contralateral para-median plane. The procedure provides 2 point of fixation to the transferred muscle. Local flaps were used for temporal hollow obliteration and for temporalis muscle elongation. This case series included 11 patients. The modified technique was performed for all patients to reanimate the lower face while gold weight impanation in the upper eye lid was used for re-animation of the eye in 9 patients. By the end of follow up, the procedure was considered successful in 9 patients. Eight patients expressed their satisfaction and 7 patients were happy with the regained facial movement. The modified temporalis muscle transfer technique might be a valuable option in cases of longstanding facial paralysis. The lips would be camouflaged, non-stretched and would move with the whole mid-face. © 2020 by Mutaz B. Habal, MD.