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Article
May 1940

CHICAGO LARYNGOLOGICAL AND OTOLOGICAL SOCIETY

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

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Abstract

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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