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

Carlos Rubi, Alexander Cardenas Mejia, Pedro Carlos Cavadas, Alessandro Thione, Rigoberto Aramburo Garcia, Shai Rozen

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)670.e13-670.e15
JournalWorld Neurosurgery
Volume91
DOIs
StatePublished - Jul 1 2016

Fingerprint

Nerve Transfer
Facial Paralysis
Analgesia
Light
Lipoma
Facial Nerve
Local Anesthesia
Local Anesthetics
Esthetics
Anesthetics
Comorbidity

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Nerve Transfer for Facial Paralysis Under Intravenous Sedation and Local Analgesia for the High Surgical Risk Elderly Patient. / Rubi, Carlos; Cardenas Mejia, Alexander; Cavadas, Pedro Carlos; Thione, Alessandro; Aramburo Garcia, Rigoberto; Rozen, Shai.

In: World Neurosurgery, Vol. 91, 01.07.2016, p. 670.e13-670.e15.

Research output: Contribution to journalArticle

Rubi, Carlos ; Cardenas Mejia, Alexander ; Cavadas, Pedro Carlos ; Thione, Alessandro ; Aramburo Garcia, Rigoberto ; Rozen, Shai. / Nerve Transfer for Facial Paralysis Under Intravenous Sedation and Local Analgesia for the High Surgical Risk Elderly Patient. In: World Neurosurgery. 2016 ; Vol. 91. pp. 670.e13-670.e15.
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