Masseter-to-facial nerve transfer for facial nerve reanimation.

Smooth symmetric facial muscle function is important for social interactions. When lesions of the facial nerve occur, achieving complete restoration of balanced and spontaneous facial function can be challenging. In this video, the authors demonstrate the surgical details and long-term follow-up of a masseter-to-facial nerve transfer in a 3-year-old girl who had insidious onset of a left facial palsy due to a facial nerve schwannoma. After resection, she underwent distal nerve repair with a masseter-to-zygomatic branch transfer. She demonstrated decreased lagophthalmos and good activation and excursion on the left side with near symmetry to the right side, but lacked left frontalis function. The video can be found here: https://stream.cadmore.media/r10.3171/2022.9.FOCVID22107.

Informations de copyright

© 2023, The Authors.

Déclaration de conflit d'intérêts

Disclosures Dr. Agarwal: consultant for Don Joy Orthopedics. Dr. Mahan: personal fees from joimax, SPR Therapeutics, and Richard Wolf Spine; and grants from Boston Scientific, NIH, University of Utah, and the Neurosurgery Research and Education Foundation, outside the submitted work.Dr. Agarwal: consultant for Don Joy Orthopedics. Dr. Mahan: personal fees from joimax, SPR Therapeutics, and Richard Wolf Spine; and grants from Boston Scientific, NIH, University of Utah, and the Neurosurgery Research and Education Foundation, outside the submitted work.