{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T02:53:50Z","timestamp":1771556030222,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study evaluates facial and tongue function in patients undergoing side\u2010to\u2010end hypoglossal\u2010to\u2010facial transfer (HFT) with additional techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010seven patients underwent a side\u2010to\u2010end HFT. Twelve had additional cross\u2010face grafts, and 9 had an additional masseter\u2010to\u2010facial transfer. Facial was assessed with House\u2013Brackmann (HB), Sunnybrook Facial Grading Scale (SFGS), and eFACE. Martins scale and the Oral\u2010Pharyngeal Disability Index (OPDI) were used to assess tongue function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010four percent of cases reached HB grades III\u2013IV. Mean total SFGS score improved from 16\u2009\u00b1\u200915 to 59\u2009\u00b1\u200911, while total eFACE score from 52\u2009\u00b1\u200913 to 80\u2009\u00b1\u20095. Dual nerve transfers were a predictor for a better eFACE total score <jats:italic>p<\/jats:italic>\u00a0=\u00a00.034, <jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a02.350 [95% CI, 0.184\u20134.516]), as well as for a higher SFGS total score (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.036, <jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a05.412 [95% CI, 0.375\u201310.449]). All patients had Martin's grade I. Mean postoperative OPDI scores were 84\u2009\u00b1\u200917 (local physical), 69\u2009\u00b1\u200916 (simple and sensory motor components), 82\u2009\u00b1\u200914 (complex functions), and 73\u2009\u00b1\u200922 (psychosocial).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The side\u2010to\u2010end HFT offers predictable facial function outcome and preserves tongue function in nearly all cases. Dual nerve transfers appear to improve the final outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27076","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T09:40:51Z","timestamp":1651657251000},"page":"1678-1689","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Contribution and safety of the side\u2010to\u2010end hypoglossal\u2010to\u2010facial transfer in multidisciplinary facial reanimation"],"prefix":"10.1002","volume":"44","author":[{"given":"Teresa","family":"Mato\u2010Patino","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Hospital Universitario La Paz  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Manuel","family":"Morales\u2010Puebla","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Hospital Universitario La Paz  Madrid Spain"},{"name":"IdiPAZ Research Institute  Madrid 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