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And again, if the levator ales nasi and the pyramidalis are
paralyzed, then the nostril on that side is deprived of vol-
untary motion, and the nostril is retained open only by the
elastic fibre of its structure. Hence the gentle waving motions
in the sides of the nose during respiration are lost, or exactly
reversed; i. e., in health the nostrils are dilated during inspira-
tion, but in facial palsy this is noticed as occurring during
expiration. In the horse this would be a fatal affair if it oc-
curred on both sides, as his nostrils are very soft, and kept
dilated by the action of the portio dura. When this nerve is
severed in the horse, his nostril flaps together, and the more
violent the inspiration, the greater the collapse of the nostril.
As the horse breathes only through his nose, he must die of
asphyxia if the facial nerve is either severed or paralyzed. So
also, if the portio dura is severed in the ass or rabbit, the ears
drop and become hideously deformed, because they are soft and
long ; but no such abnormal symptoms show themselves in man
from an actual paralysis of those branches of the portio dura,
that in the human organism also ramify the external nmscles
of the ear, because the human ear is kept in its normal position
by its partial structure of elastic fibre. And this completes the
list of the prominent symptoms of facial paralysis, which may be
seen occurring either together or separately, being caused by
a palsy of the superficial branches of the portio dura or facial
nerve.
To recapitulate : if the trunk of the portio dura is injured in
its intra-cranial portion, then we do not see the above isolated
symptoms, but, they would then be general and uniform ; and
not only so, but as we have seen, there are collateral symptoms
from the eighth nerve, as it also is involved ; there are loss of
taste, and a sense of numbness in the tongue, caused by palsy of
the corda tympani. There is also difficulty in swallowing, from
the paralysis of the dig-astricus and stylo-hyoideus muscles ; the
uvula is drawn to the sound side, and the tongue protrudes to
the sound side and downward; and the hearing will be affected,
and perhaps attended with very peculiar noises in the head.
The deep-seated palsying effects on this great nerve trunk