Nerve Transfer for Facial Paralysis Under Intravenous Sedation and Local Analgesia for the High Surgical Risk Elderly Patient

作者：Rubi Carlos; Cardenas Mejia Alexander; Carlos Cavadas Pedro; Thione Alessandro; Aramburo Garcia Rigoberto; Rozen Shai

来源：World Neurosurgery, 2016, 91: UNSP 670.e13.

DOI：10.1016/j.wneu.2016.03.091

• Awake approach
• Facial paralysis
• Masseter nerve
• Nerve transfer

BACKGROUND: This 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 DESCRIPTION: Because 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.
CONCLUSIONS: To 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.

• 出版日期2016-7