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Updated: Apr 1, 2026
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
106.6K
[Facial palsy sequel and botulinum toxin].
L Benichou1, D Labbe2, C Le Louarn3
1Service de chirurgie maxillofaciale, hôpital Paris Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.
Annales De Chirurgie Plastique Et Esthetique
|October 4, 2015
Summary
Botulinum toxin injections significantly improve facial symmetry in treating facial paralysis sequelae. This medical treatment targets either the healthy or paralyzed side of the face, complementing other therapies like rehabilitation and surgery.
Area of Science:
- Neurology
- Plastic Surgery
- Dermatology
Background:
- Facial paralysis sequelae require comprehensive management for optimal outcomes.
- Facial symmetry is a key goal in treating facial paralysis.
- Existing treatments may not fully address functional and aesthetic deficits.
Purpose of the Study:
- To highlight the role of botulinum toxin in managing facial paralysis sequelae.
- To describe the dual application of botulinum toxin on healthy and affected facial sides.
- To emphasize the integration of botulinum toxin with other therapeutic modalities.
Main Methods:
- Utilizing botulinum toxin injections to correct facial asymmetry.
- Targeting compensatory hyperactivity on the non-paralyzed side.
- Administering botulinum toxin to the paralyzed side for spasticity and synkinesis.
- Integrating botulinum toxin therapy with rehabilitation and surgical interventions.
Main Results:
- Botulinum toxin has revolutionized treatment outcomes for facial paralysis.
- Significant improvements in facial symmetry have been achieved.
- Effective management of compensatory hyperactivity and spastic synkinesis observed.
Conclusions:
- Botulinum toxin is a pivotal therapeutic agent in facial paralysis management.
- Its application on both healthy and affected facial sides offers versatile treatment options.
- A multimodal approach including botulinum toxin, rehabilitation, and surgery yields the best results.
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