67 year old F with congenital FP who underwent ?serratus vs. latissimus free flap (unclear which from history) with CFNG in 1989. She never developed any movement per report, and when I saw her last week for the first time she has an extremely bulky flap in the left face with no appreciable movement. She still has a Tinels to the right face across the entire upper lip and a strong ipsi masseteric contraction. My plan was to revise things with a gracilis with NTM innervation + utilization of existing CFNG depending on comments from the group. Thanks all.

Michael