It is possible to resuspend a contracted temporalis muscle? 6 months post craniotomy, would like to correct asymmetry.

Question

6mths ago, I underwent a craniotomy to resect a left temporal arteriovenous malformation (AVM). The surgery was a success. However, I now have facial asymmetry due to temporalis muscle displacement. The cut temporalis muscle has contracted downwards creating a depression along the inferior margin of the temporal line of the frontal bone and a muscular protrusion at the inferior portion of the temporal fossa. Is it possible to do reconstructive surgery to resuspend the temporalis muscle?

Carlos Damian Palafox Vidal, MD · Answer

There are several procedures that can help patients with craniofacial asymmetry due to cancer, AVM, Hemifacial Microsomia, trauma sequelae, burn contracture, etc. Some of the procedures help with the soft tissue, others deal with muscle re-suspension, and others are designed for the calvarial sequelae (skull-bone). A patient usually needs a CT Scan with 3D reconstruction, along with a full clinical evaluation in order to determine the best surgical approach. Some patients may need also plates or mesh for a full cranial reconstruction. I would recommend having a consultation with a Board Certified Plastic and Reconstructive Surgeon, with expertise (or a fellowship for that matter) in CranioFacial Surgery.

It is possible to resuspend a contracted temporalis muscle? 6 months post craniotomy, would like to correct asymmetry.

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It is possible to resuspend a contracted temporalis muscle? 6 months post craniotomy, would like to correct asymmetry.

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