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horizontal positions at rest, respectively. The average postoperative follow-up was 11.4 months (95% CI 5.6-14.11). In addition, when compared with patients treated with postoperative radiation therapy (9 patients), those who received preoperative radiation (15 patients) had a significant improvement in the resting vertical height of the affected side (mean 5.32 mm (p less then 0.05, 95% CI 0.06-10.57)). Conclusions and Relevance These findings encourage the use of TTT/LTM for facial nerve paralysis in appropriately selected head and neck