Abstract

Background: This article describes facial reanimation using the transfer of the trigeminal motor nerve branch of the masseter muscle (masseter nerve) to the facial nerve (masseter-to-facial nerve transfer). Methods: A retrospective review was performed of 10 consecutive facial paralysis patients treated with a masseter-to-facial nerve transfer for reanimation of the midface and perioral region over a 7-year period. Patients were evaluated with physical examination, direct measurement of commissure excursion, and video analysis. Results: All patients regained oral competence, good resting tone, and a smile, with a vector and strength comparable to those of the normal side. Motion developed an average of 5.6 months after masseter-to-facial nerve transfer, with 40 percent of patients developing an effortless smile by postoperative month 19. Conclusions: The masseter-to-facial nerve transfer is an effective method for reanimation of the midface and perioral region in a select group of facial paralysis patients. The technique is advocated for its limited donor-site morbidity, avoidance of interposition nerve grafts, and potential for cerebral adaptation, producing a strong, potentially effortless smile.

Original languageEnglish (US)
Pages (from-to)1909-1915
Number of pages7
JournalPlastic and Reconstructive Surgery
Volume127
Issue number5
DOIs
StatePublished - May 2011

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Facial reanimation using the masseter-to-facial nerve transfer'. Together they form a unique fingerprint.

Cite this