The Best Reanimation Option for Early Stage Facial Paralysis: Triple Nerve Transfers Short-Term Outcomes

INTRODUCTION: Facial paralysis is a challenging condition that affects both function and quality of life. Numerous surgical techniques have been described for facial reanimation, including nerve-based reconstruction methods. The choice of the most suitable approach depends on factors such as etiology, duration of paralysis, patient age, residual nerve status, and surgeon preference. OBJECTIVE: To measure facial movement and symmetry among patients with flaccid facial paralysis who underwent triple nerve transfer surgery, hypothesizing that those receiving this approach will demonstrate improved facial movement and quality-of-life outcomes as measured by Emotrics and FaCE scores. METHODS: Twelve patients underwent selective triple nerve transfer surgery in our center. Outcomes were assessed using artificial intelligence-based facial analysis tools and the Facial Clinimetric Evaluation (FaCE) Scale. RESULTS: < 0.05). CONCLUSION: These findings suggest triple nerve transfer improves voluntary smile symmetry and quality of life in patients with complete facial paralysis.