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The procedure was performed for 61\u2010year\u2010old man 3\u2010years after resection of a malignant tumor and a 24\u2010year\u2010old woman 10\u2010years after temporal fracture with facial paralysis. A double\u2010muscle flap comprising left LD and SA flaps was harvested, a 15\u2010cm thoracodorsal nerve (TN) section was attached to the LD flap, and 5\u2010cm and 1\u2010cm sections of the long thoracic nerve (LTN) were attached to the proximal and distal sides of SA flap. The LD flap and SA flap were sutured along the direction of motion of the zygomaticus major and risorius muscles, respectively. The contralateral FN and ipsilateral MN were interconnected by nerve suturing: the medial branch of TN to the distal end of LTN, the proximal end of LTN to the ipsilateral MN, and the buccal branch of contralateral FN to the main trunk of TN. After surgery, good contraction of the transferred flaps resulted in reanimation of a natural symmetrical smile; no complications were observed during the 12\u2010month follow\u2010up period.<\/jats:p>","DOI":"10.1002\/micr.30397","type":"journal-article","created":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T16:37:46Z","timestamp":1543941466000},"page":"457-462","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["One\u2010stage reconstruction by dual\u2010innervated double muscle flap transplantation with the neural interconnection between the ipsilateral masseter and contralateral facial nerve for reanimating established facial paralysis: A report of 2 cases"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6158-1169","authenticated-orcid":false,"given":"Hajime","family":"Matsumine","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, 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