Before and After

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Glomus Tumor

6 Months after V to VII and Cross face nerve transfer

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Geniculate Ganglion Hemangioma

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V to VII transfer

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Iatrogenic

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Selective Denervation

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Acoustic Neuroma/

Vestibular Schwannoma

Before

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V to VII and Cross Face

Nerve Transfer

After

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Parotid Cancer

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Gracilis by Ipsilateral Nerve-to-Masseter

One stage Gracilis by 5

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Bell's Palsy

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Mid-Facial Denervation

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Tumor

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Cable graft

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Iatrogenic Facial Paralysis

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Cross Face Nerve Graft,

V to VII nerve transfer

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Congenital Facial Paralysis

Gracilis by Ipsilateral 7 and Physical Therapy

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Acoustic Neuroma

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Dual Vector Gracilis

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Bilateral Temporal Bone Fracture

Before

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Mid-Facial Denervation

& DAO Resection

After

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Meningioma

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DAO Resection & Denervation

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Congenital Facial Paralysis

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Gracilis by Cross Face

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Facial Paralysis from Penetrating Trauma

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Facial nerve repair through multiple cable grafts

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Bilateral Facial Paralysis pre op smile 

6 months after bilateral gracilis muscle

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

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Lyme Disease

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Dually innervated dual vector gracilis 

Before

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Neurofibromatosis 2

After

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V - VII nerve transfer, also had XII - VII 

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Bell's Palsy

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Gracilis, DLI & DAO resection, Botox

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Chronic Bell's Palsy

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Mid-Facial Denervation

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Lyme Disease

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BOTOX

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Bell's Palsy

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Mid-Facial Denervation

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Bell's Palsy

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Mid-Facial Denervation

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Pregnancy Associated Bell's Palsy

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Physical Therapy and BOTOX

Before

After

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Otitis Media Cholesteatoma

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Gracilis by Ipsilateral Nerve-to-Masseter

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Ramsay Hunt

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Selective Denervation