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Neurovascular free muscle transplantation has become a well established procedure for treating irreversible facial paralysis. Multiple methods of neurovascular free muscle transplantation for reanimating the paralyzed face exist,1,2 but methods combining soft-tissue skin defect reconstruction with functional neuromuscular reconstructions are rare.
Tzou CJ, Aszmann OC. Reanimation of the Paralyzed FaceRadial Forearm-Pronator Quadratus Muscle Flap. JAMA Facial Plast Surg. 2013;15(5):388-390. doi:10.1001/jamafacial.2013.1201