Real Patient Case Studies

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Nerve Transfer and Cross Face Nerve Grafting Procedure (before)
masseter to facial nerve transfer

Pictured above is a patient 14 months after excision of right acoustic neuroma.

Nerve Transfer and Cross Face Nerve Grafting Procedure     (After)
masseter to facial nerve transfer

Same patient at a 7 months post-op after having a right masseter-to-facial nerve transfer and cross face nerve grafting.


cross face nerve grafting procedure (before)
cross face nerve grafting

Pictured above is a patient 3 months after excision of left facial nerve schwannoma.

cross face nerve grafting procedure (after)
cross face nerve grafting

Same patient at an 11 months post-op after receiving a left masseter-to-facial nerve transfer and cross face nerve grafting.

Lip Symmetry Procedure (before)
lip symmetry procedure

Pictured above is a patient with long standing, right complete facial paralysis after removal of a giant cholesteatoma.

Lip Symmetry Procedure (After)
lip symmetry procedure

Same patient at an 8 months follow up after undergoing facial paralysis treatment with a fascia lata static sling suspension and a lip symmetry procedure.


temporalis transfer procedure (before)
temporalis transfer - before

Pictured above is a patient with an acoustic neuroma syndrome.

temporalis transfer procedure (after)
temporalis transfer - after

Same patient at an 8 months follow up after undergoing facial paralysis treatment with a right temporalis transfer.


Temporalis transfer procedure (before)
temporalis transfer - before

Pictured above is a patient with an incomplete resolution of Bells Palsy.

temporalis transfer procedure (after)
temporalis transfer - after

Same patient with smile restoration through temporalis transfer.


Bilateral Free Gracilis Muscle Flaps Procedure (before)
smile restoration gracilis muscle

Pictured above is a patient who suffered from Moebius Syndrome making it nearly impossible for her to smile.

Bilateral Free Gracilis Muscle Flaps Procedure (After)
smile restoration gracilis muscle

The patient is now free to smile after having bilateral free gracilis muscle flaps for the treatment of her Moebius Syndrome. She is making her best effort to smile.


MASSETER TO FACIAL NERVE TRANSFER & CROSS FACE NERVE GRAFT

Surgical smile restoration by a Masseter to Facial nerve transfer and cross face nerve graft.

FREE GRACILIS MUSCLE FLAP

Free gracilis muscle flap powered by the masseter motor nerve.

SMILE RESTORATION

Smile restoration is one of the many procedures offered at Houston Methodist Center for Bells Palsy, Facial Paralysis Surgery & Functional Restoration.

NERVE GRAFT BABYSITTER

Masseter-to-facial nerve "baby sitter" transfer with cross face nerve grafts.

FREE MUSCLE FLAP

Microneurovascular muscle transplantation (free muscle flap) which is a technique that involves transplanting an expendable segment of muscle and its associated nerve to the cheek for smile restoration.

FUNCTIONAL FREE MUSCLE FLAP

Patient exhibited an incomplete resolution of Bells palsy with persistent left facial weakness. After Surgical Smile Restoration (cross face nerve graft and free gracilis muscle flap), the patient is able to smile again.

Texas Medical Center
6560 Fannin St.
Scurlock Tower, Suite 2200 
Houston, TX 77030 
713.441.6108
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