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Papel de la musculatura perinasal en la obstrucción nasal ipsilateral durante la progresión de la sinkinesis

Carley Boyce¹, Jonathan Joseph¹, Reed Smith¹

¹Department of Otolaryngology and Division of Facial Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.

Facial plastic surgery & aesthetic medicine

|August 28, 2025

Resumen

Las inyecciones de toxina botulínica dirigidas a los músculos perinales redujeron efectivamente la obstrucción nasal en pacientes con sinquinesis facial. Este tratamiento mejoró significativamente los síntomas y los resultados informados por los pacientes, ofreciendo una nueva opción terapéutica.

Área de la Ciencia:

Otorrinolaringología
Neurología
Cirugía plástica

Sus antecedentes:

La sinquinesis facial implica la activación involuntaria del músculo perinasal.
Esto puede conducir a una obstrucción nasal dinámica.
Dirigirse a estos músculos puede aliviar los síntomas nasales.

Objetivo del estudio:

Evaluar las inyecciones de toxina botulínica para la obstrucción nasal en la sinquinesis facial.
Comparó el tratamiento con toxina botulínica con la ausencia de tratamiento.
Resultados evaluados utilizando medidas informadas por los pacientes y la escala NOSE.

Principales métodos:

Revisión retrospectiva de pacientes con sinquinesis y obstrucción nasal.
Toxina botulínica (2-2,5 unidades) inyectada en el músculo nasal supra-alar y el músculo septal deprimente.
Evaluación de los síntomas a las 4 semanas mediante informes de pacientes y escala NOSE.

Principales resultados:

El 74% de los pacientes experimentaron alivio de los síntomas después de las inyecciones de toxina botulínica.
Las puntuaciones de la Evaluación de los Síntomas de la Obstrucción Nasal (NOSE) mejoraron significativamente (diferencia media de 15,93).
La puntuación media de NOSE disminuyó de 44,86 a 28,93.

Conclusiones:

Las inyecciones dirigidas de toxina botulínica son efectivas para la obstrucción nasal en la sinquinesis facial.
El tratamiento mejora significativamente los resultados informados por los pacientes.
Esto ofrece un tratamiento viable para la obstrucción nasal dinámica causada por la sinquinesis.

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