Fig. 7

Recovery from H-B grade VI to H-B grade III after direct anastomosis. No. 18 patient, female, 37-year-old, suffered from more than 1/3 facial nerve transection in the canal wall down mastoidectomy for left-side cholesteatoma of middle ear, received direct anastomosis within 25 days. a b Axial CT images revealed fallopian canal of tympanic segment and the second genu were defective. c d e Facial images before graft; c at rest before anastomosis; d eye closure before anastomosis; e upper and lower lip movement before anastomosis. f g h Facial images after anastomosis; f at rest after anastomosis; g eye closure after anastomosis; h upper and lower lip movement after anastomosis