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William Bierman, M.D.
JAMA. 1952;149(3):253-258. doi:10.1001/jama.1952.02930200039010.
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In addition to inability to move the muscles of one side of the face, the patient with Bell's palsy may present other symptoms. The one most frequently encountered is pain; this may be experienced prior to, concomitantly with, or subsequent to the onset of paralysis. It may vary in intensity and duration from relatively mild and transient to, rarely, severe and persistent. The location of the pain can be auricular, postauricular or preauricular. When, during the performance of operations on the ears of patients who were conscious, I applied electric stimulation to the bony inner tympanic wall where the tympanic nerve (Jacobson's nerve) and some of its branches are located these patients complained of pain that was varyingly referred to the three regions mentioned. Another common symptom is epiphora, which may be due to ectropion and to increased secretion. Other eye disturbances include blurred vision and a burning sensation, occurring


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