Houston Methodist. Leading Medicine.
Houston Methodist. Leading Medicine

Center for Facial Paralysis Surgery & Functional Restoration

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Texas Medical CenterLocated in the heart of Houston's world-renowned Texas Medical Center, this acute care complex serves over 400,000 domestic and international patients each year.

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The Methodist Hospital Institute for Reconstructive Surgery
6560 Fannin Street, Suite 800
Houston, TX 77030
713.441.6108

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Center for Facial Paralysis Surgery & Functional Restoration

Hypoglossal Nerve Transfers

Indications

Nerve transfers are indicated when the main trunk of the facial nerve is damaged or unavailable but the distal nerve branches and facial muscles remain viable. These techniques are best suited to cases of facial paralysis less than 2 years in duration. Adjacent functioning nerves can be divided and connected to the damaged facial nerve.

The hypoglossal-to-facial nerve transfer often produces strong facial motion. The recovery of facial movement frequently comes at the expense of some degree of tongue atrophy and impairment of post-operative speech and eating. These problems can be largely overcome by utilizing a partial hypoglossal transfer.

In the partial hypoglossal technique the motor nerve to one side of the tongue is incompletely divided and a nerve graft is utilized to redirect the regenerating nerve fibers to the damaged facial nerve.

Learn about the facial paralysis doctor, Michael Klebuc, M.D.

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