fig5

Figure 5. Fifty-seven year-old female with left sided flaccid paralysis secondary to a pontine hemorrhagic stroke. The stroke affected the masseteric (trigeminal) nerve which was not available for transfer. She underwent facial to hypoglossal nerve transfer after 10 months of flaccid paralysis. The facial nerve was transposed to the facial nerve after mastoidectomy. Photos during smile attempts during flaccid paralysis (left) and after nerve transfer (right)