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May 20, 1974

Surgery of the Facial Nerve

Author Affiliations

Harvard Medical School Boston

JAMA. 1974;228(8):1039. doi:10.1001/jama.1974.03230330069034

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Adolph Miehlke of Göttingen and his collaborators have presented a most exhaustive study of the surgery of the facial nerve. Originally published in German, it was translated by Loren S. Michaelis of London in a most commendable manner.

The emotional and social impact of facial paralysis may be quite severe. Yet attempts at restoration of continuity of the facial nerve have only very recently been considered possible. Doubtless, the complex course of the nerve from its origin in the pons to the end plates in the muscles of expression has been a considerable deterrent. Substitute procedures providing a semblance of normal symmetry were all that surgeons could offer. Today the possibilities are quite auspicious. The authors of this book have succeeded in covering essentially all aspects of the surgical problems of the facial nerve. These include its anatomy, the several causes of paralysis, the differential diagnosis of the segment involved,