title: Nerve Transfer for Facial Paralysis Under Intravenous Sedation and Local Analgesia for the High Surgical Risk Elderly Patient.
abstract: BACKGROUND
  This case report describes an 86-year-old woman with complete peripheral right-sided facial paralysis resulting from resection of a cervical lipoma 14 months before surgery.
  
  
  METHODS
  Because of the high anesthetic risk, a masseter to facial nerve transfer was performed under combined light sedation and local anesthetic. Good functional and aesthetic outcomes were noted without complications.
  
  
  CONCLUSIONS
  To our knowledge, nerve transfers under light sedation and local anesthesia have not been described in the literature and may be useful in elderly patients with significant comorbidities.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Clinica Cavadas, Valencia, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Rubi
authors.affiliation: Peripheral Nerve Clinic, Department of Plastic and Reconstructive Surgery, Hospital General "Dr. Manuel Gea González", Distrito Federal, Mexico. Electronic address: alexcardenas@hotmail.com.
authors.forename: Alexander
authors.initials: A
authors.lastname: Cardenas Mejia
authors.affiliation: Department of Plastic and Reconstructive Surgery, Clinica Cavadas, Valencia, Spain.
authors.forename: Pedro Carlos
authors.initials: PC
authors.lastname: Cavadas
authors.affiliation: Department of Plastic and Reconstructive Surgery, Clinica Cavadas, Valencia, Spain.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Thione
authors.affiliation: Peripheral Nerve Clinic, Department of Plastic and Reconstructive Surgery, Hospital General "Dr. Manuel Gea González", Distrito Federal, Mexico.
authors.forename: Rigoberto
authors.initials: R
authors.lastname: Aramburo Garcia
authors.affiliation: Microsurgical Fellowship and Facial Reanimation Program, Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Shai
authors.initials: S
authors.lastname: Rozen
mesh_terms: D000698:Analgesia; D000700:Analgesics / Q000008:administration & dosage; D002530:Cerebellopontine Angle / Q000000981:diagnostic imaging; D003391:Cranial Nerves / Q000502:physiology* / Q000637:transplantation; D003399:Craniotomy; D004333:Drug Administration Routes; D005158:Facial Paralysis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D016067:Nerve Transfer / Q000379:methods*; D015898:Tomography Scanners, X-Ray Computed
chemical_list: D000700:Analgesics
keywords: Awake approach; Facial paralysis; Masseter nerve; Nerve transfer