Principles and biomechanics of muscle tendon unit transfer: Application in temporalis muscle tendon transposition for smile improvement in facial paralysis

Research output: Contribution to journalArticle

Abstract

Muscle tendon unit (MTU) transfer is a common procedure performed to restore hand function after peripheral nerve or spinal cord injury. The principles of MTU transfer established for hand surgery can be adopted to optimize the dynamic excursion of the temporalis tendon transfer procedure for facial reanimation. Additionally, the force generating ability of a transferred MTU depends on the ideal length-tension relationship of the donor muscle. There are unclear guideline for selecting the ideal tension at which a transferred MTU will generate maximum force and excursion and current practice often leads to overstretch and suboptimal actin myosin interaction. The use of intraoperative electrical stimulation is an option for determining the ideal tension to optimize excursion of transferred temporalis tendon units in simile restoration. Understanding the biomechanics and principles of MTU and applying it to the temporalis tendon transfer procedure is necessary to improve its use in facial reanimation.

Original languageEnglish (US)
Pages (from-to)350-355
Number of pages6
JournalLaryngoscope
Volume123
Issue number2
DOIs
StatePublished - Feb 2013

Fingerprint

Tendon Transfer
Facial Paralysis
Biomechanical Phenomena
Tendons
Muscles
Hand
Myosins
Spinal Cord Injuries
Peripheral Nerves
Electric Stimulation
Actins
Guidelines

Keywords

  • biomechanics of muscle tendon unit transfer
  • facial paralysis
  • Length-tension relationship
  • principles of muscle tendon transfer
  • Temporalis tendon transfer

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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abstract = "Muscle tendon unit (MTU) transfer is a common procedure performed to restore hand function after peripheral nerve or spinal cord injury. The principles of MTU transfer established for hand surgery can be adopted to optimize the dynamic excursion of the temporalis tendon transfer procedure for facial reanimation. Additionally, the force generating ability of a transferred MTU depends on the ideal length-tension relationship of the donor muscle. There are unclear guideline for selecting the ideal tension at which a transferred MTU will generate maximum force and excursion and current practice often leads to overstretch and suboptimal actin myosin interaction. The use of intraoperative electrical stimulation is an option for determining the ideal tension to optimize excursion of transferred temporalis tendon units in simile restoration. Understanding the biomechanics and principles of MTU and applying it to the temporalis tendon transfer procedure is necessary to improve its use in facial reanimation.",
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