RESUMEN

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.

Asunto(s)

Nervios Craneales/fisiología , Parálisis Facial/cirugía , Transferencia de Nervios/métodos , Analgesia , Analgésicos/administración & dosificación , Ángulo Pontocerebeloso/diagnóstico por imagen , Nervios Craneales/trasplante , Craneotomía , Vías de Administración de Medicamentos , Parálisis Facial/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Tomógrafos Computarizados por Rayos X