A Novel Technique for Lower Lip Depressor Re-Animation Using the Nerve to Myloyhoid to Marginal Mandibular Nerve Transfer
Bibliographic record
Abstract
Introduction Reanimation of the paralyzed face remains a challenging area for the reconstructive surgeon, with several static and dynamic surgical options. This study aimed to describe a novel technique for lower lip depressor re-animation using nerve to mylohyoid (MHN) to marginal mandibular nerve (MMN) transfer. Methods Four patients underwent MHN-MMN transfer following facial nerve sacrifice following oncological resection of salivary gland malignancy or MMN sacrifice during neck dissection for oral cavity malignancy. Results All four patients recovered from their surgeries without perioperative complications. Re-innervation is not yet seen given the short duration of follow-up time. The anatomical feasibility of transferring the MHN to the MMN for re-innervation of the lower lip depressors is a feasible surgical reanimation technique with anatomical compatibility and minimal donor-site morbidity. Conclusion The MHN to MMN nerve transfer is a technically feasible lower lip depressor reanimation technique with theoretical advantages over currently accepted treatment options. Increased patient numbers and longer follow-up intervals are required to study the clinical effectiveness.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".