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May 1965

Early Response After Facial Nerve Decompression

Arch Otolaryngol. 1965;81(5):509-517. doi:10.1001/archotol.1965.00750050522019

FACIAL nerve surgeons have observed for a long time certain functional changes that occur within the first 72 hours after surgery which have been difficult to explain. Such observations are now easier to understand in light of the imaginative biochemical work of Huxley and Hodgkin,1-5 which won for them the Nobel Prize in Medicine in 1963. From a morphologic point of view, the excellent tissue culture studies on the regenerating nerves by Shambaugh and Orr6 enlighten us as to some of the important aspects of the physiologic pathology of nerve injury and repair. The application of some of these biologic concepts which were made in pure science should perhaps alter some of our clinical dicta as to when we should perform nerve surgery.

Minimal but definite associated motion has been observed personally and by several colleagues, in numerous cases that have had the conventional intratemporal facial nerve decompression