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Article
February 1931

INTRATEMPORAL SUTURE OF THE FACIAL NERVE

Author Affiliations

SAN FRANCISCO
From the Department of Otology, University of California.

Arch Otolaryngol. 1931;13(2):259-264. doi:10.1001/archotol.1931.04230010103009
Abstract

Anastomosis of the facial nerve was done in 1898 by Faure,1 who joined the eleventh to the distal end of the paralyzed seventh nerve. In 1903, Kortex2 first did a hypoglossofacial anastomosis. Many others did similar work, and there may have been earlier cases, but they were not published. The objections to these methods have been atrophy of the trapezius muscle and tongue, respectively, plus associated movements of the face and shoulder or the face and tongue. In 1910, Grant3 endeavored to prevent atrophy by anastomosing the descendens noni to the distal end of the eleventh nerve.

I have not found any reports of intratemporal end-to-end anastomosis of the facial nerve except the one successfully done by Bunnell.4 Alt gave a method of opening the facial canal, and Ney5 reported a method of decompression of the nerve and suture worked out on the cadaver. Ney

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