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Updated: Jul 6, 2026

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
Published on: December 30, 2025
[Hemi-hypoglossal-facial intratemporal side to side anastomosis]
Luis Lassaletta1, Teresa González, Pablo Casas
1Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, Spain. luikilassa@yahoo.com
Abstract:
Conventional hypoglossal-facial anastomosis and the interposition jump graft variation are the most popular techniques for facial nerve reconstruction resulting from proximal facial nerve injury. We present a modification of this technique, the hemi-hypoglossal facial intratemporal side to side anastomosis, which overcomes many of the failings of previous techniques. The method involves mobilization of the intratemporal facial nerve, which is anastomosed to a partially incised hypoglossal nerve. It is especially indicated in patients with multiple cranial nerve palsies.
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