Research Article| Volume 33, ISSUE 2, P202-215, April 1980

Cross-facial nerve grafts and microneurovascular free muscle transfer for long established facial palsy

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      Cross-facial nerve grafts followed in 4 to 12 months by microneurovascular free gracilis transplantation can produce adequate reconstruction in the lower two-thirds of a paralysed face. The mixed sensory and motor deep peroneal nerve and the small muscle bulk of the extensor digitorum brevis limit its usefulness in facial palsy. The gracilis has proved to be a much superior muscle. A feasible method for total reanimation of unilateral facial palsy is presented.


        • Anderl H.
        Reconstruction of face through cross face nerve transplantation in facial paralysis.
        Chirurgia Plastica. 1973; 2: 17
        • Anderl H.
        Nerve repair and cross-over grafting in facial nerve palsy.
        in: Fredericks S. Brody G. Symposium on the Neurological Aspects of Plastic Surgery. C. V. Mosby Co.,, St Louis1978: 259
        • Freeman B.S.
        Facial Palsy, in Reconstructive Plastic Surgery.
        in: Converse J.M. W. B. Saunders Co, Philadelphia, London and Toronto1977 (chapter 36)
        • Harii K.
        • Ohmori K.
        • Torii S.
        Free gracilis muscle transplantation, with microneurovascular anastomosis for the treatment of facial paralysis.
        Plastic and Reconstructive Surgery. 1976; 57: 133
        • Miller T.A.
        Are free muscle grafts a viable reconstructive method?.
        Plastic and Reconstructive Surgery. 1978; 62: 597
        • O'Brien B.McC.
        Microvascular free muscle transfer.
        in: O'Brien B.McC. Microvascular Reconstructive Surgery. Churchill Livingstone, Edinburgh, London and New York1977 (chapter 15)
        • Smith J.W.
        A new technique of facial animation.
        in: Transactions of the Vth International Congress in Plastic Surgery. Butterworths, Melbourne1971: 83
        • Thompson N.
        Treatment of facial paralysis by free skeletal muscle grafts.
        in: Transactions of the Vth International Congress in Plastic and Reconstructive Surgery. Butterworths, Melbourne1971: 66