Healthy 49yo 2 months after fall with temporal bone fracture and complete flaccid paralysis. EMG shows fibrillation potentials and very minimal amplitude without polyphasic waves on that side. Typically I would wait at least 6 mos for spontaneous recovery then consider masseter to facial nerve branch transfer +/- static suspension if no recovery is seen by then. I’m wondering if anyone has had success with a direct CFNG early in the course of paralysis to add spontaneous reanimation in the event natural recovery doesn’t occur? I haven’t seen convincingly good results with direct hook up, but the morbidity is fairly low and it could be used to power a gracilis in the future if needed. Would it provide any benefit in this type of case?