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In paralysis of the facial nerve, the temporal muscle and its fascia can be used for supporting the drooped tissues of the face. For this the muscle is connected to the face by loops of fascia lata, and it can then straighten the deviated mouth and columella nasi and support them in the normal position. The nasolabial fold is often reformed, and a small amount of movement may be produced by the muscle which is controlled by the fifth cranial nerve. Patients are grateful also for the improved control of the mouth, which permits them to smoke, whistle and eat and drink in public.
The procedure does not disturb the patient much, does not impair the functions of other nerves or leave visible facial scars. Five or six days' hospitalization is recommended, with an additional week of outpatient care. Worth while improvement is usually noted at once.
INDICATIONS FOR OPERATIVE
BROWN JB, McDOWELL F. SUPPORT OF THE PARALYZED FACE BY FASCIA. JAMA. 1947;135(1):18–20. doi:10.1001/jama.1947.02890010020006
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