Masseteric-facial nerve transposition for reanimation of the @entity408 in incomplete XXXX .

@entity1 @entity912 @entity4401 @entity3541 @entity408
UNASSIGNED: Incomplete @entity3541 occurs in about a third of @entity1 with @entity4401 . Although their faces are symmetrical at rest, when they @entity408 they have varying degrees of disfigurement. Currently, cross-face nerve grafting is one of the most useful techniques for reanimation. Transfer of the masseteric nerve, although widely used for complete @entity912 , has not to our knowledge been reported for incomplete palsy. Between December 2008 and November 2013, we reanimated the faces of 9 @entity1 (2 @entity1 and 7 @entity1 ) with incomplete unilateral @entity3541 with transposition of the masseteric nerve. Sex, age at operation, cause of @entity912 , duration of denervation, recipient nerves used, and duration of follow-up were recorded. Commissural excursion, velocity, and @entity1 ' satisfaction were evaluated with the FACIAL CLIMA and a questionnaire, respectively. The mean (SD) age at operation was 39 (  6) years and the duration of denervation was 29 (  19) months. There were no complications that required further intervention. Duration of follow-up ranged from 6-26 months. FACIAL CLIMA showed improvement in both commissural excursion and velocity of more than two thirds in 6 @entity1 , more than one half in 2 @entity1 and less than one half in one. Qualitative evaluation showed a slight or pronounced improvement in 7/9 @entity1 . The masseteric nerve is a reliable alternative for reanimation of the @entity408 in @entity1 with incomplete @entity3541 . Its main advantages include its consistent anatomy, a one-stage operation, and low morbidity at the donor site.
