J Neurol Surg B Skull Base 2016; 77 - RT-22-02
DOI: 10.1055/s-0036-1592638

Reinnervation and Reanimation in the Treatment of Facial Nerve Palsy

Mislav Gjuric 1, Lana Kovac Bilic 1
  • 1Department of Otorhinolaryngology, University KBC Clinic Zagreb, Zagreb, Croatia

The propensity and the extent of spontaneous recovery after peripheral facial nerve paralysis should be extensively evaluated after 6 months and the decision made regarding further invasive treatment. The reinnervation procedure of choice at the moment seems to be the masseter-facial nerve anastomosis with/without the additional cross-face grafting. At the later point, the free gracilis muscle transfer to the masseter nerve has advantages over alternative procedures.