Temporalis Muscle Tendon Unit Transfer for Smile Restoration After Facial Paralysis.

Temporalis muscle tendon unit (MTU) transfer may be used as a single-stage procedure for dynamic reanimation of the paralyzed face. Principles and biomechanics of muscle function and tendon transposition are essential in optimizing outcome. Critical steps and pearls for success include minimizing scarring, maintaining glide plains, mobilizing adequate tendon length, insertion of MTU at ideal tension based on intraoperative dynamic tension-excursion relationship, and insertion of tendon as close to the lip margin as possible.

The transconjunctival transorbital approach: a keyhole approach to the midline anterior skull base.

Objective: To report an initial experience with a medial transorbital approach to the midline skull base performed via a transconjunctival incision.

Methods: The authors retrospectively reviewed their clinical experience with this approach in the management of benign cranial base pathology. Preoperative imaging, intraoperative records, hospitalization charts, and postoperative records were reviewed for relevant data.

Transpalpebral orbitofrontal craniotomy: a minimally invasive approach to anterior cranial vault lesions.

Unlabelled: To describe a minimally invasive approach to anterior cranial vault pathology using a transpalpebral exposure with a miniorbitofrontal craniotomy.

Design: Case series.

Setting: Tertiary referral hospital with multidisciplinary skull base program.