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Article
February 1988

Two-Stage Temporalis Flap Reconstruction for Facial Paralysis

Author Affiliations

Fort Sam Houston, Tex

Arch Otolaryngol Head Neck Surg. 1988;114(2):121. doi:10.1001/archotol.1988.01860140019007

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Abstract

At the fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery held in Chicago, Ben D. Buchholtz, Robert A. Mickel, James K. Bredenkamp, and Timothy A. Miller of the Division of Head and Neck Surgery, Veterans Administration Medical Center, Los Angeles, described a modification of the temporalis muscle flap in treatment of the paralyzed face. The operation is a two-staged procedure where free temporalis fascial graft is placed through an external incision around the oral commissure. This graft is harvested from the contralateral scalp. About three to six weeks later, an ipsilateral temporalis muscle and fascia transfer is made to this previously placed graft. During the second stage, additional procedures of a static nature, such as a rhytidoplasty, may be undertaken. The advantages of this approach include: (1) an improved anchoring site for the temporalis flap, (2) the flexibility to perform other static procedures, (3) the fact

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