Abstract
Cross facial nerve grafting may be utilized in the treatment algorithm of both reversible paralysis, wherein axonal input to existing mimetic mucsles will elicit movement, or in irreversible paralysis, wherein cross facial axons are used to motor a free muscle transfer. This article reviews the indications, operative technique, post-operative care, and potential complications of this technique. Cross facial nerve grafting may be utilized in the treatment algorithm of both reversible paralysis, wherein axonal input to existing mimetic mucsles will elicit movement, or in irreversible paralysis, wherein cross facial axons are used to motor a free muscle transfer. This article reviews the indications, operative technique, post-operative care, and potential complications of this technique.
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