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February 1948


Author Affiliations

From the Department of Surgery, Division of Plastic Surgery, University of Illinois College of Medicine, the University of Illinois Research and Educational Hospitals and St. Luke's Hospital.

Arch Surg. 1948;56(2):132-137. doi:10.1001/archsurg.1948.01240010137002

IT IS NOT the purpose of this presentation to discuss new methods for the correction of facial paralysis but to familiarize this group with some of the methods and results obtained in the treatment of injury of facial nerves.

SELECTION OF CASES  It is difficult to estimate with consistent accuracy in which cases the facial paralysis may tend to regenerate spontaneously and, when this does occur, what degree of regeneration may be anticipated. Naturally, lesions secondary to removal of extensive mixed tumors of the parotid gland or acoustic neuromas may be looked on as permanent. Those following trauma such as skull fractures, injury from mastoid operations or bullet wounds may arise from edema around the nerve rather than from actual division of the nerve trunk. If the edema is slight, spontaneous response may be noted within a short time, but with more extensive injuries evidence of some return of function