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Cross Face Nerve Grafts

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Cross Face Nerve Grafts
Patients suffering from facial palsy are confronted with functional and aesthetic deficits of deficient facial function. Cross-face nerve grafts are used in cases of facial reanimation surgery to guide axons from a healthy donor branch of the facial nerve to the affected side of the face. Long sural nerve grafts are used as cross-face nerve grafts, reaching lengths of 20 to 30 cm in the clinical situation. Regeneration times for axonal outgrowth to the distal end of the grafts take several months. Cross-face nerve grafts undergo changes associated with chronic denervation during this time period. Functional outcomes after cross-face nerve grafts are sometimes insufficient to power a free muscle transplant and to result in significant facial
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