Free Gracilis Muscle Transfer in the Nerve-Depleted Patient: Reconsidering the Deep Temporal Nerve.

Rist, Tyler M; Sullivan, Christopher Blake; Drake, Virginia; Miller, Matthew Q · Laryngoscope · 2026

case_report · Level V

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Abstract

The choice of a donor nerve to innervate a free gracilis muscle transfer (FMGT) is more complicated in patients with a history of previous facial paralysis surgeries. This case report describes the use of the deep temporal nerve to successfully power a FMGT in a nerve-depleted patient.

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