Nerve Transfer for Facial Paralysis Under Intravenous Sedation and Local Analgesia for the High Surgical Risk Elderly Patient.
BACKGROUND
This case report describes an 86-year-old woman with complete peripheral right-sided facial paralysis resulting from resection of a cervical lipoma 14 months before surgery.


CASE DESCRIPTION
Because of the high anesthetic risk, a masseter to facial nerve transfer was performed under combined light sedation and local anesthetic. Good functional and aesthetic outcomes were noted without complications.


CONCLUSIONS
To our knowledge, nerve transfers under light sedation and local anesthesia have not been described in the literature and may be useful in elderly patients with significant comorbidities.
['Rubi|Carlos|C|', 'Cardenas Mejia|Alexander|A|', 'Cavadas|Pedro Carlos|PC|', 'Thione|Alessandro|A|', 'Aramburo Garcia|Rigoberto|R|', 'Rozen|Shai|S|']
D000698:Analgesia D000700:Analgesics D002530:Cerebellopontine Angle D003391:Cranial Nerves D003399:Craniotomy D004333:Drug Administration Routes D005158:Facial Paralysis D005260:Female D006801:Humans D008279:Magnetic Resonance Imaging D008875:Middle Aged D016067:Nerve Transfer D015898:Tomography Scanners, X-Ray Computed
Nerve transfer Facial paralysis Awake approach Masseter nerve