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Review Case Reports
Nerve transfer for facial paralysis under IV sedation and local analgesia for the high surgical risk elderly patient.
- Carlos Rubi, Alexander Cardenas Mejia, Pedro Carlos Cavadas, Alessandro Thione, Rigoberto Aramburo Garcia, and Shai Rozen.
- Department of Plastic and Reconstructive Surgery, Clinica Cavadas, Valencia, Spain.
- World Neurosurg. 2016 Jul 1; 91: 670.e13-5.
BackgroundThis case report describes an 86-year-old woman with complete peripheral right-sided facial paralysis resulting from resection of a cervical lipoma 14 months before surgery.Case DescriptionBecause of the high anesthetic risk, a masseter to facial nerve transfer was performed under combined light sedation and local anesthetic. Good functional and aesthetic outcomes were noted without complications.ConclusionsTo our knowledge, nerve transfers under light sedation and local anesthesia have not been described in the literature and may be useful in elderly patients with significant comorbidities.Copyright © 2016 Elsevier Inc. All rights reserved.
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