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A PROCEDURE TO CORRECT FACIAL PARALYSIS

A PROCEDURE TO CORRECT FACIAL PARALYSIS Herein are presented the results of a method of improving the appearance of the face after loss of the facial nerve. For many years the standard procedure for correcting facial paralysis had been a spinofacial or hypoglossofacial anastomosis. The results were good but far from perfect. The advent of fascial strips slung from the temporal fascia to the lower and upper lips and to the lower eyelid produced results as good as if not better than the nerve anastomosis. However, each procedure left much to be desired. The nerve anastomosis never produced complete motor function in either the lower part of the face or the lower eyelid and, while in a certain percentage of cases there was automatic muscular control, in most instances the muscular activity was dependent on movement of the shoulder with spinofacial or of the tongue with hypoglossofacial anastomosis. On the other hand, with the fascial strips http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

A PROCEDURE TO CORRECT FACIAL PARALYSIS

JAMA , Volume 124 (15) – Apr 8, 1944

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1944 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1944.62850150003007a
Publisher site
See Article on Publisher Site

Abstract

Herein are presented the results of a method of improving the appearance of the face after loss of the facial nerve. For many years the standard procedure for correcting facial paralysis had been a spinofacial or hypoglossofacial anastomosis. The results were good but far from perfect. The advent of fascial strips slung from the temporal fascia to the lower and upper lips and to the lower eyelid produced results as good as if not better than the nerve anastomosis. However, each procedure left much to be desired. The nerve anastomosis never produced complete motor function in either the lower part of the face or the lower eyelid and, while in a certain percentage of cases there was automatic muscular control, in most instances the muscular activity was dependent on movement of the shoulder with spinofacial or of the tongue with hypoglossofacial anastomosis. On the other hand, with the fascial strips

Journal

JAMAAmerican Medical Association

Published: Apr 8, 1944

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