Myectomy and Botulinum Toxin for Paralysis of the Marginal Mandibular Branch of the Facial Nerve: A Series of 76 Cases

Chen, Chen-Kun; Tang, Yueh‐Bih

doi:10.1097/01.prs.0000287136.22709.77

Cited by 49 publications

(28 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In such a case, botulinum toxin can also be applied on the healthy side to reduce the muscle movements in the overused mimic areas. On the healthy side, botulinum toxin is most often used to reduce the function of the depressor anguli oris muscle [28]. …”

Section: Adjuvant Measuresmentioning

confidence: 99%

Modern concepts in facial nerve reconstruction

2010

View full text Add to dashboard Cite

BackgroundReconstructive surgery of the facial nerve is not daily routine for most head and neck surgeons. The published experience on strategies to ensure optimal functional results for the patients are based on small case series with a large variety of surgical techniques. On this background it is worthwhile to develop a standardized approach for diagnosis and treatment of patients asking for facial rehabilitation.ConclusionA standardized approach is feasible: Patients with chronic facial palsy first need an exact classification of the palsy's aetiology. A step-by-step clinical examination, if necessary MRI imaging and electromyographic examination allow a classification of the palsy's aetiology as well as the determination of the severity of the palsy and the functional deficits. Considering the patient's desire, age and life expectancy, an individual surgical concept is applicable using three main approaches: a) early extratemporal reconstruction, b) early reconstruction of proximal lesions if extratemporal reconstruction is not possible, c) late reconstruction or in cases of congenital palsy. Twelve to 24 months after the last step of surgical reconstruction a standardized evaluation of the therapeutic results is recommended to evaluate the necessity for adjuvant surgical procedures or other adjuvant procedures, e.g. botulinum toxin application. Up to now controlled trials on the value of physiotherapy and other adjuvant measures are missing to give recommendation for optimal application of adjuvant therapies.

show abstract

Section: Adjuvant Measuresmentioning

confidence: 99%

Modern concepts in facial nerve reconstruction

2010

View full text Add to dashboard Cite

show abstract

“…Thus, if permanent paralysis is needed, a myotomy of the depressor labii could be performed by an endo-oral approach under local anesthesia. 25 Botulinum toxin also can be used in other areas, such as the forehead or the eye, depending on the features of the patient. 26 The treatment of facial palsies remains a great challenge for the surgeon, but an overall improvement in the results can be achieved using facial animation techniques involving neuromuscular transplants.…”

Section: Discussionmentioning

confidence: 99%

Ancillary Procedures in Facial Animation Surgery

Bianchi¹,

Ferri²,

Ferrari³

et al. 2014

Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…116 Blinded patient-reported measures of overall QOL, social functioning, personal appearance, visual function, and synkinesis severity demonstrated significant postinjection improvements for those in the BT treatment arm (P<.05, all measures) but not for saline placebo group (P>.05, all measures). Evidence from case series has demonstrated that in patients with flaccid paralysis, BT injection to the contralateral lip depressors improves lower-lip symmetry, 117 that injection into the contralateral NLF region improves oral competence, 118 and that injection into the contralateral forehead improves brow symmetry (level IV). 119 In addition, injectable fillers, such as hyaluronic acid, hydroxyapatite, and fat grafts, may be beneficial in the midface and lips (level V).…”

Section: Injectablesmentioning

confidence: 98%