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Charles H. Frazier, M.D.
JAMA. 1923;81(20):1712. doi:10.1001/jama.1923.02650200062033.
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To the Editor:  —Several cases of paralysis of the recurrent laryngeal nerves, both right and left, have been referred to me by Dr. Chevalier Jackson. The resultant paralysis is most distressing, involving, as it does, not only aphonia, but also dyspnea. In fact, to relieve the latter, Dr. Jackson had to perform a tracheotomy. Dr. Jackson and I discussed the question of relief by nerve anastomosis, and we came to the conclusion that, on theoretical grounds, at least, it might be possible to supply the necessary cortical stimulation by way of the ramus hypoglossi descendens. This operation, with Dr. Jackson's approval, I have carried out on one side, and two months after the operation the following report was received: "Mirror examination shows the glottic chink on deep inspiration to be about twice as wide as before operation. There is more movement in the cord and, while the excursion is only


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