Cross-face nerve transplantation in facial palsy

A two-stage technique of cross face nerve transplantation in facial palsy is presented. This operation is regarded a substitutional procedure with the mose physiological basis, but beyond the age of 50 other easier operations should be performed unless favourable conditions prevail. The results in 35 patients are reviewed. The cross face nerve transplantation never attain the quality of ipsilateral facial nerve repair, but in case of regeneration the operation is superior to all other substitution operations.