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보톡스를 이용한 안면마비 후 생긴 팔자주름과 입술 외측 슬픈 주름의 치료

Botox Therapy for Deep Nasolabial Fold and Bitterness Furrow after Facial Nerve Paralysis

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참고문헌

키워드

주제분류이비인후과학

초록

Background and Objectives Facial sequelae after facial paralysis cause serious functional and aesthetical problems including facial asymmetry, symkinesis and facial crease. The most common aesthetical problem is facial furrow and crease induced by facial hyperkinestic movement due to incomplete facial recovery. The aim of this study is to investigate the efficacy of botulinum toxin A injection in patients with deep nasolabial fold and bitterness furrow after facial paralysis. Subjects and Method Thirty-five patients who recovered partially from facial paralysis, had deep nasolabial fold and bitterness furrow with or without facial asymmetry. Botulinum toxin A intramuscular injection on perioral area for mouth corner deviation, subcutaneous injection on deepen nasolabial fold, and intramuscular injection on bitterness furrows had improved lower facial symmetry and cosmetic configuration without Pseudo Bell’s palsy. Results Of 26 patients who had facial palsy side nasolabial fold before the injection, 21 patients improved. Of the 21 patients who had facial palsy side bitterness furrow, 16 patients improved after the injection. Of 11 patients who had contralateral nasolabial fold, 4 patients improved after the injection. Of 13 patients who had contralateral bitterness furrow, 7 patients improved after the injection. Conclusion After botulinum toxin A injection, the patients showed marked improvement of nasolabial fold, bitterness furrow and lower facial asymmetry.

Abstract

Background and Objectives Facial sequelae after facial paralysis cause serious functional and aesthetical problems including facial asymmetry, symkinesis and facial crease. The most common aesthetical problem is facial furrow and crease induced by facial hyperkinestic movement due to incomplete facial recovery. The aim of this study is to investigate the efficacy of botulinum toxin A injection in patients with deep nasolabial fold and bitterness furrow after facial paralysis. Subjects and Method Thirty-five patients who recovered partially from facial paralysis, had deep nasolabial fold and bitterness furrow with or without facial asymmetry. Botulinum toxin A intramuscular injection on perioral area for mouth corner deviation, subcutaneous injection on deepen nasolabial fold, and intramuscular injection on bitterness furrows had improved lower facial symmetry and cosmetic configuration without Pseudo Bell’s palsy. Results Of 26 patients who had facial palsy side nasolabial fold before the injection, 21 patients improved. Of the 21 patients who had facial palsy side bitterness furrow, 16 patients improved after the injection. Of 11 patients who had contralateral nasolabial fold, 4 patients improved after the injection. Of 13 patients who had contralateral bitterness furrow, 7 patients improved after the injection. Conclusion After botulinum toxin A injection, the patients showed marked improvement of nasolabial fold, bitterness furrow and lower facial asymmetry.

참고문헌 (8)

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  2. Chong PN, "Botulinum toxin in the treatment of facial dyskinesias", Ann Acad Med Singapore, 20(2), pp.223~227 (1991)
  3. Oppenheim H, "Die Fazialislähmung, In Lehrbuch der Nervenkrankheiten für Ärzte und Studierende", pp.638~641 (1913), S Karger
  4. Pessa JE, "The anatomy of the labiomandibular fold", Plast Reconstr Surg, 101(2), pp.482~486 (1998)
  5. Beer GM, "The causes of the nasolabial crease: A histomorphological study", Clin Anat (2012)
  6. Laskawi R, "The use of botulinum toxin in head and face medicine: an interdisciplinary field", Head Face Med, 4, pp.5~ (2008)
  7. Souayah N, "Severe botulism after focal injection of botulinum toxin", Neurology, 67(10), pp.1855~1856 (2006)
  8. Filipo R, "Botulinum toxin in the treatment of facial synkinesis and hyperkinesis", Laryngoscope, 122(2), pp.266~270 (2012)

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