Peripheral facial nerve paralysis can result from a nerve lesion distal or proximal to the stylomastoid foramen. We operated on 20 patients with distal lesions using faciofacial homolateral grafts. Portions of the sural nerve were used, branched grafts being used to replace branched deficits.
In 16 cases of proximal lesions the cross-face technique was used with limited results. Constantly refining our technique, we now prefer to make three cross-grafts (2 lip, 1 eyebrow), all in one operation. More promising results are obtained in younger patients, soon after the lesion occurs.
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