A cervicofacial flap is elevated to expose the distal branches of the facial nerve, for preparation of the cross facial nerve graft. The gracilis muscle is typically utilized, although the serratus muscle or partial latissimus can be used as well. If a two-stage procedure is performed, the CFNGs are connected to the distal branches of the paralysed facial nerve during the second stage 9 to 12 months later. Interpositional graft is used.
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