Cross-facial nerve graft: a report of chronically paralyzed facial muscle neurotization by a nerve graft.
A 21-year-old housewife with long-standing hemifacial paralysis on the left side decided to undergo the classic two-stage cross-facial nerve graft with muscle transfer. The first stage of the operation was performed successfully with the use of a sural nerve graft. After the appearance of Tinel's sign 8 months later, gain of function in the muscles of the paralyzed side was observed and negated the need for the second-stage muscle transfer.
Forootan
Seyed Kamal
SK
Department of Plastic Surgery, Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Street No 21, Seyed Jamaladin Asad-Abadi Avenue, Tehran, Iran. forootanmd@gmail.com
Fatemi
Mohammad Javad
MJ
Pooli
Aydin H
AH
Habibi
Mohammadali
M
Javidan
Siavash
S
D000328:Adult; D005146:Facial Asymmetry / Q000601:surgery*; D005154:Facial Nerve / Q000601:surgery*; D005158:Facial Paralysis / Q000601:surgery*; D005260:Female; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods; D010525:Peripheral Nerves / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome