{"id":2456,"date":"2021-11-23T00:23:54","date_gmt":"2021-11-23T05:23:54","guid":{"rendered":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/?page_id=2456"},"modified":"2023-03-27T14:56:04","modified_gmt":"2023-03-27T18:56:04","slug":"5-7-nerve-transfer-smile-reanimation","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/treatments\/5-7-nerve-transfer-smile-reanimation\/","title":{"rendered":"5-7 Nerve Transfer Smile Reanimation"},"content":{"rendered":"<h1>Who is a candidate for 5-7 nerve transfer smile reanimation?<\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-2645 alignright\" src=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/06\/AW-Website-Smile-300x276.jpg\" alt=\"Before and After 5-7 Nerve Transfer\" width=\"400\" height=\"368\" srcset=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/06\/AW-Website-Smile-300x276.jpg 300w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/06\/AW-Website-Smile-768x707.jpg 768w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/06\/AW-Website-Smile-600x552.jpg 600w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/06\/AW-Website-Smile.jpg 790w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"color: inherit\">Patients who have had facial paralysis for less than 2 years are generally candidates for the 5-7 nerve transfer (aka masseteric-facial nerve transfer) to restore smile symmetry.<\/span><\/p>\n<h1>What is 5-7 nerve transfer smile reanimation?<\/h1>\n<p>The masseteric nerve is a nerve in the cheek which innervates the masseter, a chewing muscle. In the 5-7 nerve transfer, a branch of the masseteric nerve is connected to a branch of the facial nerve which activates the smile muscles. After the nerves heal, patients can smile by \u201cbiting down.\u201d Dr. Miller has extensive experience with this procedure, and uses precise intraoperative nerve stimulation, allowing him to reliably identify the masseteric nerve and the branch of the facial nerve most likely to maximize smile while minimizing unwanted facial movements.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2770 aligncenter\" src=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-scaled.jpg\" alt=\"illustration of 5-7 nerve transfer\" width=\"1046\" height=\"633\" srcset=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-scaled.jpg 2560w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-300x181.jpg 300w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-1024x619.jpg 1024w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-768x465.jpg 768w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-1536x929.jpg 1536w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-2048x1239.jpg 2048w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2023\/03\/IMG_0238-600x363.jpg 600w\" sizes=\"auto, (max-width: 1046px) 100vw, 1046px\" \/><\/p>\n<h1>What to expect during 5-7 nerve transfer smile reanimation:<\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-2713 alignright\" src=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/08\/OI-Smile-300x283.jpg\" alt=\"OI Smile\" width=\"400\" height=\"377\" srcset=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/08\/OI-Smile-300x283.jpg 300w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/08\/OI-Smile-1024x966.jpg 1024w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/08\/OI-Smile-768x725.jpg 768w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/08\/OI-Smile-600x566.jpg 600w, https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-content\/uploads\/sites\/1266\/2022\/08\/OI-Smile.jpg 1528w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/h1>\n<p>The 5-7 nerve transfer is performed under general anesthesia. We make an incision in front of the ear, similar to a facelift incision. The facial and masseteric nerves are identified and sewn together using a microscope. Patients typically go home the same day or stay one night in the hospital. After 3-6 months, patients will see movement return in their smile muscles. At this time, patients begin working with our therapist, Heather Davis Cuevas, to maximize smile symmetry. With practice, many patients no longer have to think about biting when smiling.<\/p>\n<p>If you would like to schedule a consultation at the UNC Facial Nerve Center, please call <a href=\"tel:984-974-2255\">984-974-2255<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Who is a candidate for 5-7 nerve transfer smile reanimation? Patients who have had facial paralysis for less than 2 years are generally candidates for the 5-7 nerve transfer (aka masseteric-facial nerve transfer) to restore smile symmetry. What is 5-7 nerve transfer smile reanimation? The masseteric nerve is a nerve in the cheek which innervates &hellip; <a href=\"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/treatments\/5-7-nerve-transfer-smile-reanimation\/\" aria-label=\"Read more about 5-7 Nerve Transfer Smile Reanimation\">Read more<\/a><\/p>\n","protected":false},"author":44955,"featured_media":0,"parent":2262,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2456","page","type-page","status-publish","hentry","odd"],"acf":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages\/2456","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/users\/44955"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/comments?post=2456"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages\/2456\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/pages\/2262"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/ent\/facialnervecenter\/wp-json\/wp\/v2\/media?parent=2456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}