Abstract
Summary Results obtained in the treatment of facial paralysis and clonic facial spasm by means of the operation of hypoglossal-facial anastomosis are described. Recovery of tone and voluntary power was satisfactory in eighteen patients, unsatisfactory in one. One patient has not been reviewed. Recovery was very satisfactory in two cases in which there was a delay of nine and a half months between the date of onset of facial paralysis and that of the reparative operation, and also in one other in which the delay was twenty-six months. These observations would seem to demonstrate that degeneration of muscle fibres and end plates is not of such importance as is generally believed.
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