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Spontaneous Return and Facial Nerve GraftingTrigeminal Nerve Significance
JOHN J. CONLEY, MD;
E. M. PAPPER, MD;
NATHAN KAPLAN, MD
Arch Otolaryngol. 1963;77(6):643-649.
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Considerable interest has been generated concerning the physiology of movement of the face after resection of the parotid gland and facial nerve. The return of movement after this type of extirpative operation has been associated with free autogenous nerve grafting and, more curiously, in some instances when nerve grafting has not been carried out. This latter phenomenon has been identified as spontaneous return of movement.
The speculations embracing this spontaneous return of movement include the possibility of open-field regeneration, contralateral innervation, trigeminal nerve innervation, masticatory action, unknown aberrant pathways, or combinations of these various possibilities. There was also a question as to whether the seventh nerve graft functioned as a pathway for nerve impulses, or whether one of the above might be operating in addition to the graft. Therefore, it was decided to do a series of tests on both free-nerve graft and spontaneous return cases that might elucidate the
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK
From the Departments of Otolaryngology (Dr. Conley), Anesthesiology (Dr. Papper), and Physical Medicine (Dr. Kaplan), Columbia-Presbyterian Medical Center; and the Head and Neck Department (Dr. Conley), Pack Medical Group.
Footnotes
Submitted for publication Jan 7, 1963.
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