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Updated: Apr 12, 2026

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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
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Gracilis microneurovascular transfer for facial paralysis
Peter C Revenaugh1, Patrick J Byrne2
1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois.
Facial Plastic Surgery : FPS
|May 12, 2015
Summary
Facial nerve dysfunction causes movement loss. Gracilis microneurovascular transfer is a reliable surgical technique to restore midface symmetry and motion, improving patient function and psychological well-being.
Area of Science:
- Plastic Surgery
- Microsurgery
- Facial Reanimation
Background:
- Facial nerve dysfunction leads to significant functional and psychological distress.
- Restoring facial symmetry and motion is crucial for quality of life.
- Historical and modern surgical techniques aim to address facial paralysis.
Purpose of the Study:
- To describe gracilis microneurovascular transfer, a common technique for facial reanimation.
- To highlight its reliability in restoring midface mobility.
- To provide an overview of this established surgical procedure.
Main Methods:
- Detailed description of the gracilis microneurovascular transfer procedure.
- Focus on the surgical steps and technical considerations.
- Emphasis on achieving functional and aesthetic outcomes.
Main Results:
- Gracilis microneurovascular transfer is a well-established method for midface reanimation.
- This technique provides reliable restoration of facial symmetry and motion.
- Successful outcomes reported in literature for patients with facial nerve dysfunction.
Conclusions:
- Gracilis microneurovascular transfer is a highly effective surgical option for facial reanimation.
- It offers a reliable solution for restoring midface mobility and symmetry.
- This technique significantly improves the functional and aesthetic status of patients with facial paralysis.

