Gracilis muscle is the most commonly used muscle in facial paralysis. Although the use of the contralateral buccal branches with the sural nerve graft as the recipient nerve provides spontaneous smiling, the main disadvantage is the weak contraction due to insufficient muscle innervation. Although the masseter nerve is a chewing muscle, it can be used as a recipient nerve to provide a strong contraction. However, postoperative adaptation of the brain is required to ensure spontaneous smiling. In this article, I will evaluate the results of the postoperative third-year results of 11 patients with partial thickness gracilis muscle. I carried on the masseter recipient nerve for oral corner reanimation in facial paralysis.
Part of the book: Facial Nerve Palsy