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Updated: Jul 3, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Facial palsy: anatomy, etiology, grading, and surgical treatment
Gedge D Rosson1, Richard J Redett
1Department of Surgery, Division of Plastic, Reconstructive, and Maxillofacial Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. gedge@jhmi.edu
Abstract:
The modern microvascular reconstructive surgeon has quite an arsenal when managing the paralyzed face and injury to the facial nerve. After a brief description of the anatomy, etiology, facial nerve syndromes, and grading schemes, we detail our approach to the patient with facial paralysis. In reviewing our methods, we discuss the organ-based timing protocol, along with recent advancements in surgical technique.
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