Because facial nerve paralysis can have a devastating functional and psychological impact, accurate surgery involving the facial nerve is essential. Consequently, I appreciate the attempt of Pereira et al1 to add to the literature on improving localization of the facial nerve. However, many limitations to their study relating to their assumptions, incision, measurements, and technique need to be mentioned.
Hilsinger Jr RL. A Simple Method for Safe Identification of the Facial Nerve Using Palpable Landmarks—Invited Critique. Arch Surg. 2004;139(7):748. doi:10.1001/archsurg.139.7.748