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May 1940


Arch Otolaryngol. 1940;31(5):873-881. doi:10.1001/archotol.1940.00660010887010

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Surgical Repair of Facial Paralysis. Presented by Dr. Hans Brunner.  Anastomosis of the facial nerve and nerve grafting will be exhaustively discussed and the disadvantages of both methods pointed out. I recommend two methods which avoid the disadvantages of the nerve operation to a great extent. My procedure is as follows: First, I do the endoral muscle plug operation. The masseter muscle is exposed within the mouth and is pulled to the angle of the mouth through a tunnel of mucous membrane. When the wounds in the mouth are healed, the plastic operation is completed by a subcutaneous lifting of the angle of the mouth. The following procedure is employed: An incision is made in the mouth as in a Denker operation, with exposure of the canine fossae; by the use of a drill a hole is made in the piriform aperture, and a silk thread is put through the

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