Before and After

Facial Paralysis from Penetrating Trauma

Facial nerve repair through multiple cable grafts

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5 months

17 months

Before

After

Before

After

Gracilis by Ipsilateral Nerve-to-Masseter

One stage Gracilis by 5

Parotid Cancer

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Dually innervated dual vector gracilis 

Lyme Disease

Bell's Palsy

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Pregnancy Associated Bell's Palsy

Physical Therapy and BOTOX

Bilateral Facial Paralysis pre op smile 

Smile 6 months after bilateral gracilis muscle transfer driven by Masseteric nerve

Iatrogenic Facial Paralysis

Cross Face Nerve Graft,

5-7 nerve transfer

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Gracilis, DLI & DAO resection, Botox

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6 Months after V to VII and Cross face nerve transfer

Glomus Tumor

Congenital Facial Paralysis

Gracilis by Ipsilateral 7 and Physical Therapy

Lyme Disease

BOTOX

Bell's Palsy

Bilateral Temporal Bone Fracture

Mid-Facial Denervation

& DAO Resection

Bell's Palsy

Mid-Facial Denervation

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Dual Vector Gracilis

Acoustic Neuroma

Spontaneous Recovery

Bell's Palsy

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3 Months

5 Months

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Mid-Facial Denervation

Cable graft

Tumor

Mid-Facial Denervation

Bell's Palsy

Acoustic Neuroma/

Vestibular Schwannoma

V to VII and Cross Face

Nerve Transfer

Chronic Bell's Palsy

Mid-Facial Denervation

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Bell's Palsy

Mid-Facial Denervation

Iatrogenic

Selective Denervation