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Updated: Apr 19, 2026

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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
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Facial reanimation by masseteric muscle- mandibular periosteum transfer
1Department of Otolaryngology, Besat Hospital, Hamedan, Iran.
World Journal of Plastic Surgery
|December 10, 2014
Abstract:
Permanent facial paralysis is a catastrophic event for involved patients. In long lasting paralysis with severe facial muscles atrophy, masseter muscle transfer is a very good choice. But its greatest problem is postoperative elongation of flap and gradual diminishing of early results and loss of symmetry. This article advocate a new modification for resolving this problem with concomitant elevation of mandibular periosteum with masseter muscle, as a unit for lip and midface elevation.

