Before and After
Ramsay Hunt
Geniculate Ganglion Hemangioma
Selective Denervation
V to VII transfer
Iatrogenic
Selective Denervation
Acoustic Neuroma/
Vestibular Schwannoma
Before
V to VII and Cross Face
Nerve Transfer
After
Parotid Cancer
Gracilis by Ipsilateral Nerve-to-Masseter
One stage Gracilis by 5
Bell's Palsy
Mid-Facial Denervation
Tumor
Cable graft
Iatrogenic Facial Paralysis
Cross Face Nerve Graft,
V to VII nerve transfer
Congenital Facial Paralysis
Gracilis by Ipsilateral 7 and Physical Therapy
Acoustic Neuroma
Dual Vector Gracilis
Bilateral Temporal Bone Fracture
Before
Mid-Facial Denervation
& DAO Resection
After
Meningioma
DAO Resection & Denervation
Geniculate Ganglion Hemangioma
Botox &
Selective Denervation
Congenital Facial Paralysis
Gracilis by Cross Face
Facial Paralysis from Penetrating Trauma
Facial nerve repair through multiple cable grafts
Bilateral Facial Paralysis pre op smile
Smile 6 months after bilateral gracilis muscle transfer driven by Masseteric nerve
Lyme Disease
Dually innervated dual vector gracilis
Before
Neurofibromatosis 2
After
V - VII nerve transfer, also had XII - VII
Bell's Palsy
Gracilis, DLI & DAO resection, Botox
Chronic Bell's Palsy
Mid-Facial Denervation
Lyme Disease
BOTOX
Bell's Palsy
Mid-Facial Denervation
Bell's Palsy
Mid-Facial Denervation
Pregnancy Associated Bell's Palsy
Physical Therapy and BOTOX
Before
After
Otitis Media Cholesteatoma
Gracilis by Ipsilateral Nerve-to-Masseter
Glomus Tumor
6 Months after V to VII and Cross face nerve transfer