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Updated: Oct 30, 2025

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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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Dual Nerve Transfer for Facial Reanimation
Tyler S Okland1, Jon-Paul Pepper2
1Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Facial Plastic Surgery Clinics of North America
|July 4, 2021
Summary
This study presents a dual nerve transfer technique for facial reanimation, combining hypoglossal and masseteric nerve transfers for improved outcomes. The method offers an efficient approach to restoring facial movement.
Area of Science:
- Neurosurgery
- Microsurgery
- Facial Plastic Surgery
Background:
- Facial paralysis significantly impacts quality of life.
- Nerve transfer techniques are crucial for facial reanimation.
- Combining nerve transfers can enhance functional recovery.
Purpose of the Study:
- To describe a dual nerve transfer procedure for facial reanimation.
- To analyze illustrative cases of the dual nerve transfer technique.
- To discuss clinical indications, technical pearls, and pitfalls.
Main Methods:
- Performing a dual nerve transfer combining hypoglossal and masseteric nerves.
- Illustrative case presentations for analysis.
- Discussion of surgical technique, indications, and potential complications.
Main Results:
- The dual nerve transfer efficiently combines strengths of individual nerve transfers.
- Successful facial reanimation was achieved in presented cases.
- Key technical considerations and potential challenges were identified.
Conclusions:
- Dual nerve transfer is an effective method for facial reanimation.
- This technique builds upon and enhances existing nerve transfer strategies.
- Careful patient selection and surgical technique are vital for optimal results.
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