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To the Editor.—In the treatment of facial hyperkinesia, the surgical approach is often regarded as the final recourse. The decision is often made with some reservation, however. The reason is that the technique involved may be complicated, and yet one cannot be certain of its effectiveness. It is hard to know, for instance, even for the experienced surgeon, the extent of selective extratemporal section of facial nerve branches to avoid recurrence. We have carried out a procedure that proved successful. Instead of complete severance of selected branches of the facial nerve, compression of the main trunk of the facial nerve is done with a wire loop. The advantage of this procedure lies in its relative simplicity and, more importantly, in the adjustability it allows for increasing the pressure needed to control completely the harassing symptom.
Procedure.—A curved incision is made from 1 cm below the earlobe to the
FAN Z. A New Surgical Technique for Facial Hyperkinesia. Arch Otolaryngol. 1982;108(7):461. doi:10.1001/archotol.1982.00790550065018
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