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ARTICLE |

OPERATIVE TREATMENT IN SELECTED CASES OF CHRONIC PERIPHERAL FACIAL PARALYSIS

WILLIAM SHARPE, M.D.
JAMA. 1918;70(19):1354-1357. doi:10.1001/jama.1918.02600190010004.
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Not only is the condition of facial paralysis, especially of the peripheral type, a most noticeable deformity, but the resulting contractures in chronic cases frequently impair the speech, mastication and deglutition; inability to close the homolateral eye permits a chronic conjunctivitis to result, and if palpebral contractures occur, then an eversion of the eyelids is a common sequela. In addition to these definite objective impairments resulting from persistent facial paralysis, it should be remembered that the subjective reaction of such a deformity on the patient is very marked—so much so that few patients having a complete facial paralysis persisting over a period of two years and longer show a normal reaction emotionally. They are easily depressed, and they limit their lives more and more to one of seclusion; particularly is this true of women.

Facial paralysis may be considered of the peripheral type when the lesion exists at the facial

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