The motor components of local cranial nerves provide a series of options for the surgical rehabilitation of the paralyzed face. Nerve donor sites vary with respect to their motor power, functional deficit, and synergy with facial expression. A thorough understanding of each donor nerve's strengths and weaknesses facilitates the selection process. Technical modifications to reduce donor site morbidity and the emerging role of the masseter nerve are examined.
KEYWORDS
Facial nerve paralysis - trigeminal motor nerve - cross-face nerve graft - hypoglossal nerve transfer - facial reanimation
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Michael KlebucM.D.
Division of Plastic Surgery, Baylor College of Medicine
6560 Fannin, #800, Houston, TX 77030
