Objective: to provide anatomical basis for direct side-to-end anastomosis of hypoglossal and facial nerve.

Anastomosis of severed facial nerve and accessory nerve could be helpful in restoring symmetry of the face in preventing the face muscle from atrophy and in preserving shoulder movement.

Conclusion Application of the autogenous vein cuff to cover the nerve anastomosis and injection of cerebral cell growth peptide is a promising method for facial nerve repairing.