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When the appellant referred her to Dr. Mohan Krishna of Hyderabad, she went to him on 19.8.1997 and subsequently to Dr. K. R. Meghanath of Medwin on 12.9.1997. The doctors concluded that she had facial nerve paralysis with dermoid cyst neck. Later she was examined at Sri Ramachandra Medical College and Research Institute, Madras. They confirmed the above findings. Later Prof. R. Venkata Swamy of Malar Hospitals, Chennai grafted the nerve.

Despite the operation her condition had not changed. She incurred Rs. 72,000/- towards treatment at various hospitals. She lost one academic year. She and her parents suffered mental agony. Therefore she claimed medical expenses together with compensation of Rs. 4 lakhs and costs. for negligence of the appellant in conducting the operation which resulted in facial nerve paralysis  

There is an interruption of     continuity in all essential structures, with complete loss of conduction of both efferent and afferent impulses. This leads to complete and permanent degeneration of the nerve. In axonotmesis the function of axons or nerve fibres, is lost, with resulting peripheral degeneration of the conducting structures of the nerve, but the supporting tissues, the epineurium and endoneurium, are preserved. Spontaneous recovery may occur, and during regeneration the nerve fibres follow their original channels. In neurapraxia there is a transient block or interruption of continuity resulting from compression or blows by blunt instruments. This is a minimal lesion which does not produce complete paralysis and is not accompanied by peripheral degeneration, although there may be some loss of myelin, recovery is rapid and complete.