Facial nerve paralysis has always been a distressing clinical entity. Revived interest in facial nerve rehabilitation has led to some clarification and progress in the management of this problem. Its relations to central nervous system disease, fracture of the base of the skull, Bell's palsy, mastoid surgery, congenital abnormalities, deep lacerations of the face, and radical extirpation of tumors of the parotid gland have been investigated by many workers in the field. Their endeavors have included nerve grafting, nerve crossing and anastomosis, nerve decompression and neurolysis, muscle transposition, fascial suspension, and watchful waiting.
One of the interesting aspects of facial nerve surgery relates to tumor surgery about the parotid gland. The indications for resection of this nerve in high-grade cancers, balanced against the obligation to preserve it in the adequate extirpation of large benign tumors, have been issues of serious debate and fear to surgeons for many years. Fortunately, improved
CONLEY JJ. Facial Nerve Grafting. Arch Otolaryngol. 1961;73(3):322–327. doi:10.1001/archotol.1961.00740020330013
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