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This patient has had a facial paralysis that healed with synkinesis- the regrowth of facial nerve fibers to areas of the face they had not originally innervated. This results in an inability to move individual parts of the face in isolation. The production of a loud sound in the left ear that she could both hear and feel when she moves her face confirmed that facial muscle fibers had regrown to the stapedius muscle in her middle ear. A simple procedure to divide the tendon of the malfunctioning stapedius muscle resolved her symptoms.
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