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One potential drawback to coaptation of the masseteric nerve to the main trunk of the facial nerve is increased risk of synkinesis.
The masseteric nerve is an excellent donor nerve for cases of recent-onset facial paralysis given its close anatomic proximity to the zygomatic and buccal divisions of the facial nerve, straightforward harvest technique, strong axonal volume, low morbidity, and potential for spontaneity.
Anastomosis of masseteric nerve to lower division of facial nerve for correction of lower facial paralysis.