This can be regarded as a major advance in the realm of scientific investigative studies in respect of the facial paralysis. According to an innovative study it has been revealed, that the application of a surgical technique identified as temporalis tendon transfer, when applied perfectly in conjunction with concentrated physical therapy both before and after surgery, may possibly help in the abating of the features of the patients affected with facial paralysis. Its has also come to the knowledge in this respect, that the initiative in the investigative study was undertaken by a distinguished group of renowned researchers of the Johns Hopkins University School of Medicine, in Baltimore under the stewardship of Dr. Patrick J. Byrne, M.D, and his colleagues.

The researchers in this regard reported the results of seven patients who had been affected by facial paralysis and treated with temporalis tendon transfer. According to them, this very technique on average is found to involve an opening beginning at the ear while ending 3 to 4 centimeters into the hairline at the temple. The temporalis muscle, a fan-shaped muscle on the side of the head, is cut at the point that it connects to the jawbone and released from the tissue surrounding it. It is the followed by a stretch to the point where the muscles of the mouth join together. The tendon that was found prior to this connecting the temporalis muscle to the jawbone is cut free and then stretched horizontally for 3 to 4 centimeters; it is sutured to the surrounding muscles and deep skin tissue. Physical therapy to retrain facial muscles begins before the surgery and continues beginning seven days after the procedure.

In addition, after the end of minimum four months after the surgery, it was found that the rate of patient satisfaction had been outstanding. Through the version of the patients, it was realized, that if compared, out of possible 10 points, by virtue of satisfaction the patients graded 8.4 with the appearance, with feeding of 8.1, with speech of 8.7 and with smile function of 7.1. it is to be noted in this esteem, that the photographs of the patients that were taken were graded by 21 physicians in the Johns Hopkins Department of Otolaryngology–Head and Neck Surgery out of which there had been four patients who were physician-graded as excellent to superb while the remnant three were identified to have good postoperative results.

Speaking on this, the authors in general stated, "The rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. It is an unfortunate fact that there is no ideal procedure that leads to the return of fully normal facial function. Furthermore, every case of facial paralysis is different in the cause of the paralysis, the degree and location of the paralysis and the resulting condition of the facial musculature and surrounding soft tissue envelope."