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October 1986

Treatment of Essential Blepharospasm

Arch Otolaryngol Head Neck Surg. 1986;112(10):1108. doi:10.1001/archotol.1986.03780100096017

To the Editor.—I would like to make several comments on the article by Dobie and Fisch1 entitled "Primary and Revision Surgery (Selective Neurectomy) for Facial Hyperkinesia," which was published in the February 1986 issue of the Archives. The authors' method is essentially the same as that described by Reynolds et al2 in 1967, who published their experiences using differential sectioning of the facial nerve for the treatment of blepharospasm. Since that time, the ophthalmic literature has been absorbing numerous articles by many surgeons describing their success and complication rates using the seventhnerve avulsion technique for the treatment of blepharospasm.3,4 Frueh et al2 reported treating 100 consecutive patients with intractable blepharospasm using differential sectioning of the seventh nerve. Their results differed from those of Dobie and Fisch in several respects. In Frueh's patients, the marker of success of surgery was the reduction of spasm to the