What is the role of cross-face grafts in the treatment of congenital facial paralysis?

Updated: Jan 07, 2019
  • Author: Alan D Bruns, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

This procedure offers the potential to provide specific divisional innervation to its counterpart on the contralateral face. This technique may be combined with microvascular muscle grafts. It is not applicable in some patients with developmental palsies because the distal peripheral nerve and muscle are often impaired. This has been used in patients with hemifacial microsomia. Of the 9 patients younger than 1 year, 7 had symmetry at rest and voluntary movement and spontaneous facial expression at 18 months postoperatively. As the age of the child increased, the percentage of satisfactory outcomes decreased. [45]


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