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Dr. Kettel, Hillerød, Denmark: Those patients with chronic facial spasm are the most distressing I have operated on. I began operating on such patients many years ago and did about 14 operations. For a year the results were very good. Then slowly there was a recurrence in most of the cases. I think that there is a temporary, minor depression of facial nerve function after these operations, and that is all. In a patient on whom I have operated twice, I first cut the nerve and later removed a piece of the descending part and inserted a graft. The patient was a woman, and it was a frightful sight to see her twisting her face all the time, even during the night. I suggested cutting the nerve, and told her she was going to be paralyzed for about a year; she accepted this. I have never seen a patient so