Abstract

Facial palsy is an intriguing clinical problem, and the authors each present their (somewhat opposing) viewpoints on the correct management of this vexing disorder. Dr Moldaver, who contributed almost half the book, begins by describing several interesting and lesser known facts about the facial nerve and muscles. Proprioceptive sensory receptors, for example, have not yet been identified in the facial muscles, yet loss of facial tone is undeniably an essential feature of facial palsy, and the return of facial tonus is a milestone in the rehabilitation of the palsied face. There is an illustrated chapter on the ethnic differences of the facial musculature; most textbooks of anatomy are based almost solely on the white model. He speculates that the near-perfect symmetry of facial expression, particularly that of the midline muscles, must reflect a bilateral central facial innervation. He warns sternly against slitting the sheath during facial nerve decompression procedures, a

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