RESUMO
Paralysis of facial nerve leads to a severe deformity which seriously handicaps the patients, both aesthetically and functionally. Anderson's modification of Gilles' technique involves the use of ipsilateral temporalis muscle lengthened by the slips of its overlying temporalis fascia to restore function and rehabilitate the patient with typical deformity. A total of 28 patients underwent facial reanimation with this technique at the Department of Plastic Surgery, Mayo Hospital, Lahore from January 1990 to June 1998. The mean age was 23.25 years and mean duration of facial palsy was 14.5 years at the time of presentation. The results were evaluated in terms of aesthetic and functional improvement. The aesthetic appearance of eye was excellent in 3 patients, good in 23 patients. Functional recovery was excellent in 15 patients, good in 12 patients and satisfactory in one patient. Aesthetic improvement in the region of cheek and oral sphincter was excellent in 4 patients, good in 17 patients, satisfactory in 5 patients and poor in 2 patients. Functional gain In this region showed excellent results in 7, good in 15, satisfactory in 5 patients and poor in one patient. The results reaffirm the role of dynamic reanimation, in long standing cases of facial palsy, by temporalis muscle transfer