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Facial paralysis significantly impacts the quality of life and mental well-being of patients. Patients classified as severe (House-Brackmann Grade V–VI) typically require surgical intervention [1, 2]. Several surgical treatment options exist depending on etiology, duration, severity, and patient preferences. Among these, facial nerve substitution/transplantation procedures are suitable for patients with damage closer to the central segment of the facial nerve, with the distal part of the facial nerve still intact and facial muscle motor endplates functionally viable [3, 4].

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Combined Hypoglossal-Facial and Descendens Hypoglossi-Hypoglossal Anastomoses (HFDHHA) in Treating Severe Facial Paralysis: How We Do It

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  • 发表日期：

    2025年

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  • Yinda Tang,
  • Shi-Ting Li

摘要

Facial paralysis significantly impacts the quality of life and mental well-being of patients. Patients classified as severe (House-Brackmann Grade V–VI) typically require surgical intervention [1, 2]. Several surgical treatment options exist depending on etiology, duration, severity, and patient preferences. Among these, facial nerve substitution/transplantation procedures are suitable for patients with damage closer to the central segment of the facial nerve, with the distal part of the facial nerve still intact and facial muscle motor endplates functionally viable [3, 4].