Best cosmetic and functional results obtained with earlierneurotization. Using part of hypoglossal nerve cause less tonguemorbidity Splitting of the hypoglossal nerve and anastomosing it tothe devisions of the facial nerve results in minimum synkinesis thananstomosis to the main trunk. The importance of training to coordinatethe tongue and facial movements must be emphasized, more “natural”cosmetic results occurred in the patients who carefully followed aphysiotherapy program.