Modified temporalis muscle flap for eyelid reanimation

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dc.contributor.authorEvrenos M.K.
dc.contributor.authorBali Z.U.
dc.contributor.authorYaman M.
dc.contributor.authorYoleri L.
dc.date.accessioned2024-07-22T08:10:09Z
dc.date.available2024-07-22T08:10:09Z
dc.date.issued2018
dc.description.abstractThe reanimation of both upper and lower paralytic eyelids requires dynamic procedures for longevity of correction. Temporalis muscle ensures the criteria for reanimation and is used widely as a result. Many modifications were described to improve the success of the classical technique. One of these modifications was reported by the senior author in 1999. Twice as much muscle mass (in thickness) to the upper eyelid than the lower was taken and passed submuscu-larly 5 to 6 mm away from the limbus and a thinner split was passed subcutaneously beneath the lower cilia. The aim of this study was to present the outcomes of the technique after 38 operations with 37 patients and to describe deep temporalis musculofascial-fatty flap to recover depression of temporalis muscle split donor area. Seventeen lower eyelids were evaluated as mild, 12 were as moderate, and 9 were as severe ectropion. One upper eyelid was evaluated as mild, 14 were as moderate, and 23 were as severe lagophthalmos pre-operatively. Mean follow-up time was 28.8 months. Five patients had mild ectropion and 2 patients had mild lagophthalmos postoperatively at last follow-up. Two patients needed medial canthal tendon reinsertion secondary to relaxation of fixation suture at medial canthus. All patients tolerated the procedure and all complaints were resolved without creating a notable cosmetic deformity. Copyright © 2018 by Mutaz B. Habal, MD.
dc.identifier.DOI-ID10.1097/SCS.0000000000004692
dc.identifier.issn10492275
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15099
dc.language.isoEnglish
dc.publisherLippincott Williams and Wilkins
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectChild
dc.subjectEyelid Diseases
dc.subjectEyelids
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectSurgical Flaps
dc.subjectTemporal Muscle
dc.subjectYoung Adult
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectchild
dc.subjecteyelid
dc.subjecteyelid disease
dc.subjectfemale
dc.subjecthuman
dc.subjectmale
dc.subjectmiddle aged
dc.subjectsurgical flaps
dc.subjecttemporalis muscle
dc.subjecttransplantation
dc.subjectyoung adult
dc.titleModified temporalis muscle flap for eyelid reanimation
dc.typeArticle

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