Department of Otolaryngology, Besat Hospital, Hamedan, Iran , ruholah_abasi@hotmail.com
                    
                    
                    Abstract:       (8803 Views)
                    
                    
                    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.
                    
                    
                    
                    
                    
                    Type of Study:  
case report |
                    Subject: 
                    
Special  ePublished: 2013/01/15