A modification of the temporalis muscle transfer for facial animation
in facial palsy is described. Seven cases are presented which demonstr
ate the advantages of the procedure, especially the avoidance of tempo
ral hollowing and the greater power due to less dissection of the musc
le belly, a more direct line of pull and the absence of a pulley. In a
ddition, food pooling in the buccal sulcus is reduced, and the procedu
re is less extensive and thus better tolerated.