This piece summarizes for a surgical audience the gracilis muscle graft for facial reanimation in cases of one-sided facial paralysis where prior neuroanastomosis of the facial nerve to a branch of the masseteric nerve was unsuccessful. A cross-facial nerve graft, anastomosed to a branch of the facial nerve on the non-paralyzed side, had been placed prior to the current surgery.
The images in this piece were selected from a complete series of sketches illustrating the full gracilis muscle graft procedure. The sketches were developed into clean pencil drawings and then digitally rendered in Photoshop. It was then formatted for a journal page. This illustration was created in collaboration with the surgery department at Johns Hopkins Hospital in Baltimore, Maryland.