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C. Nduka et al.

there is no need to overcorrect the repair to allow for the tendency of non-vascularised grafts to stretch post operatively. Secondly, there is no donor site from harvest ing a tendon or fascia lata graft. The importance of customising the angle, range of motion or insertion of the muscle has been emphasised in order to create a symmet rical smile. 9 The ability to refine these factors to produce symmetry is limited when using a standard temporalis or masseter transfer because either the muscular origin or its insertion remains attached. However, the LTM is completely mobilised down to the infra-temporal crest remaining attached only by its neurovascular pedicles, which allows freedom of positioning. In summary, dynamic smile reconstruction is safe and effective using the LTM technique. However, for the func tional and aesthetic advantages to be attained it requires careful pre-operative attention, intra-operative attention to detail and active post-operative rehabilitation.

8. Gillies H. Experiences with fascia lata grafts in the operative treatment of facial paralysis. Proc R Sot Med 1934; 27 :1372 e 8. 9. Paletz JL, Manktelow RT, Chaban R. The shape of a normal smile: Implications for facial paralysis reconstruction. Plast Reconstr Surg 1994; 93 (4):784 e 9. discussion 790 e 1. 10. Rubin L. The anatomy of a smile: Its importance in the treat ment of facial paralysis. Plast Reconstr Surg 1974; 53 (4):384 e 7. 11. Kane MA. The effect of botulinum toxin injections on the nasolabial fold. Plast Reconstr Surg 2003; 112 (5 Suppl.): 66S e 72S. discussion 73S e 74S. 12. Glenn MG, Goode RL. Surgical treatment of the “marginal mandibular lip” deformity. Otolaryngol Head Neck Surg 1987; 97 (5):462 e 8. 13. Clodius L. Selective neurectomies to achieve symmetry in partial and complete facial paralysis. Br J Plast Surg 1976; 29 (1):43 e 52. 14. Breslow G, Cabiling D, Kanchwala S, Bartlett S. Selective marginal mandibular neurectomy for treatment of the marginal mandibular lip deformity in patients with chronic unilateral facial palsies. Plast Reconstr Surg 2005; 116 :1223 e 32. 15. Cordeiro PG, Wolfe SA. The temporalis muscle flap revisited on its centennial: Advantages, newer uses, and disadvantages. Plast Reconstr Surg 1996; 98 (6):980 e 7. 16. Kim S, Matic DB. The anatomy of temporal hollowing: The superficial temporal fat pad. J Craniofac Surg 2005; 16 (4):651 e 4. 17. Breidahl AF, Morrison WA, Donato RR, Riccio M, Theile DR. A modified surgical technique for temporalis transfer. Br J Plast Surg 1996; 49 (1):46 e 51. 18. Labbe D, Hamel M, Benateau H. Lengthening temporalis myo plasty and transfacial nerve graft (VII e V). Technical note. Ann Chir Plast Esthet 2003; 48 (1):31 e 5. 19. Cuccia G, Shelley O, d’Alcontres FS, Soutar DS, Camilleri IG. A comparison of temporalis transfer and free latissimus dorsi transfer in lower facial reanimation following unilateral long standing facial palsy. Ann Plast Surg 2005; 54 (1):66 e 70. 20. Har-Shai Y, Gil T, Metanes I, Labbe D. Intraoperative muscle electricale stimulation for accurate positioning of the tempo ralis muscle tendon during dynamic, one-stage lengthening temporalis myoplasty for facial and lip reanimation. Plast Reconstr Surg 2010; 126 (1):118 e 24. 21. Horlock N, Sanders R, Harrison D. The SOOF lift: Its role in cor recting midfacial and lower facial asymmetry in patients with partial facial palsy. Plast Reconst Surg 2002; 109 (3):839 e 49. 22. Labbe D. Myoplastie d’allongement du temporal V.2. et rean imation des levres. Annales de chirugie plastique esthetique 2009; 54 :571 e 6. 23. Har-Shai Y, Metanes I, Badarny S, et al. Lengthening temporalis myoplasty for facial reanimation. Isr Med Assoc J 2007 Feb; 9 (2):123 e 4.

Conflict of interest

The authors declare no conflict of interest and have received no funding in relation to this article.

References

1. Schiatkin B, May M. The facial nerve: May’s second edition . New York: Thieme Medical Publishers; 2000. 2. Ryzenman JM, Pensak ML, Tew Jr JM. Facial paralysis and surgical rehabilitation: A quality of life analysis in a cohort of 1,595 patients after acoustic neuroma surgery. Otol Neurotol 2005; 26 (3):516 e 21. discussion 521. 3. Labbe D, Benateau H, Bardot J. Surgical procedures for labial reanimation in facial paralysis. Ann Chir Plast Esthet 2002; 47 (5):580 e 91. 4. Rubin L. Reanimation of the paralysed face . St. Louis: Mosby; 1977. 5. Labbe D. Lengthening of temporalis myoplasty and reanimation of lips. Technical notes. Ann Chir Plast Esthet 1997; 42 (1):44 e 7. 6. Labbe D, Huault M. Lengthening temporalis myoplasty and lip reanimation. Plast Reconstr Surg 2000; 105 (4):1289 e 97. discussion 1298. 7. McLaughlin C. Surgical support in permanent facial paralysis. Plast Reconstr Surg 1953; 11 :302 e 14.