Bilateral simultaneous free gracilis muscle transfer: A realistic option in management of bilateral facial paralysis Lindsay RW et al. - Bilateral gracilis transplants with reconstruction of the oral commissure is a realistic option in management of the bilaterally paralyzed face. This technique has been made more feasible because the operative time for free tissue transfer has continuously declined with the use of two-team surgery, improved microsurgical techniques, and the advent of venous coupling devices. [more...]