Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases

Since 1939, 260 patients with a peripheral facial palsy have been operated on by me according to Ballance and Duel, and in 61 cases nerve grafting, in 8 nerve suture was performed; 66 of the patients have been re-examined by me, 2 have been operated upon lately and one could not be traced. If a comp...

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Main Author: Karsten Kettel
Format: Article
Language:English
Published: Thieme Revinter Publicações 1954-12-01
Series:Arquivos de Neuro-Psiquiatria
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1954000400005&lng=en&tlng=en
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author Karsten Kettel
author_facet Karsten Kettel
author_sort Karsten Kettel
collection DOAJ
description Since 1939, 260 patients with a peripheral facial palsy have been operated on by me according to Ballance and Duel, and in 61 cases nerve grafting, in 8 nerve suture was performed; 66 of the patients have been re-examined by me, 2 have been operated upon lately and one could not be traced. If a complete facial palsy arises in direct conjunction with surgery or accident the repair should, if possible, be undertaken without delay; if it occurs after an interval of freedom and the continuity of the nerve is unbroken the prognosis on the whole is good. The technique is discussed and the importance of the after-treatment is stressed. The results may be divided into two groups according to the conditions for and the proceeding of the repair, illustrated in tables 1 and 2. Among 52 cases, in which no degeneration of the musc'es had taken place and in which the operation was successfully performed a clinically satisfactory result was obtained in 47 patients. If these conditions are not fulfilled the prospect of a satisfactory result is a priori poor. It must be born in mind that not even the most successful operation will be able to restore function completely.
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spelling doaj-art-b0dcf221f9b040adb2e588bbc0eee55b2025-08-20T02:23:34ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42271954-12-0112441543810.1590/S0004-282X1954000400005S0004-282X1954000400005Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 casesKarsten Kettel0Frederiksborg County HospitalSince 1939, 260 patients with a peripheral facial palsy have been operated on by me according to Ballance and Duel, and in 61 cases nerve grafting, in 8 nerve suture was performed; 66 of the patients have been re-examined by me, 2 have been operated upon lately and one could not be traced. If a complete facial palsy arises in direct conjunction with surgery or accident the repair should, if possible, be undertaken without delay; if it occurs after an interval of freedom and the continuity of the nerve is unbroken the prognosis on the whole is good. The technique is discussed and the importance of the after-treatment is stressed. The results may be divided into two groups according to the conditions for and the proceeding of the repair, illustrated in tables 1 and 2. Among 52 cases, in which no degeneration of the musc'es had taken place and in which the operation was successfully performed a clinically satisfactory result was obtained in 47 patients. If these conditions are not fulfilled the prospect of a satisfactory result is a priori poor. It must be born in mind that not even the most successful operation will be able to restore function completely.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1954000400005&lng=en&tlng=en
spellingShingle Karsten Kettel
Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases
Arquivos de Neuro-Psiquiatria
title Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases
title_full Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases
title_fullStr Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases
title_full_unstemmed Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases
title_short Nerve grafting and nerve suture in postoperative facial palsies: A report of 69 cases
title_sort nerve grafting and nerve suture in postoperative facial palsies a report of 69 cases
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1954000400005&lng=en&tlng=en
work_keys_str_mv AT karstenkettel nervegraftingandnervesutureinpostoperativefacialpalsiesareportof69cases