Acta Neurochirurgica

, Volume 161, Issue 6, pp 1089–1094 | Cite as

Masseteric nerve supercharge bypass in primary reconstruction of facial nerve

  • Petr VachataEmail author
  • Stepanka Brusakova
  • Jan Lodin
  • Martin Sames
Case Report - Peripheral Nerves
Part of the following topical collections:
  1. Peripheral Nerves


Facial paralysis is a severe disease and presents a formidable treatment challenge. A wide variety of surgical procedures are available with limited evidence. Major risk factors of suboptimal recovery include the duration of paralysis as well as higher age. In this paper, we demonstrate reconstruction of the facial nerve via an intratemporal end-to-end anastomosis and concomitant transfer of an intact masseteric nerve to the side of facial nerve trunk. The supercharge (reverse end-to-side) transfer resulted in preservation of target muscles and faster recovery. Masseteric supercharge bypass may be an acceptable surgical technique to restore muscle function in potentially higher risk cases.


Facial nerve palsy Masseteric nerve Nerve transfer Supercharge bypass 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Patient consent

The patient has consented to the submission of the case report for submission to the journal. Additional informed consent was obtained from patient for whom identifying photography is included in this article.

Ethical approval

All procedures performed in study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Masaryk Hospital, J. EPurkyně UniversityUsti nad LabemCzech Republic
  2. 2.Department of Neurosurgery, Faculty of Medicine in PilsenCharles UniversityPilsenCzech Republic
  3. 3.Department of NeurologyMasaryk HospitalUsti nad LabemCzech Republic

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