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Article
October 1969

Connective Tissue and Potassium in Facial Nerve Injury

Author Affiliations

Copenhagen
From the Connective Tissue Research Laboratory (Dr. Schiff), and the Department of Pharmacology, the University of Copenhagen, Copenhagen. Dr. Schiff is currently with the Department of Otolaryngology, the University of Southern California School of Medicine, Los Angeles.

Arch Otolaryngol. 1969;90(4):437-444. doi:10.1001/archotol.1969.00770030439006
Abstract

THE facial nerve is one of the most frequently discussed nerves of the entire body. Its failure to function leaves a cosmetic disfigurement which stimulates efforts to improve its action.

At a recent international symposium on Management of Peripheral Facial Palsies held in Copenhagen, Schiff (1965)1 discussed the early response of the facial nerve following decompression. Several of the other participants agreed that they had seen cases which showed a return of tonus within 72 hours of decompression. Such was often found despite the fact that true motor function was not present at so early a date. Wallerian degeneration could not have taken place in these fibers as the time interval for return of tonus was too short. Axonotmesis or neurotmesis shows a prolonged recovery period. Thus, a biochemical concept of this early response to decompression is the only one that seems tenable. Alterations in the biochemical environment of

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