Benichou L, Labbe D, Le Louarn C, Guerreschi P
Service de chirurgie maxillofaciale, hôpital Paris Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.
4, place Fontette, 14000 Caen, France.
Ann Chir Plast Esthet. 2015 Oct;60(5):377-92. doi: 10.1016/j.anplas.2015.07.011. Epub 2015 Oct 1.
Medical treatment of facial paralysis sequel is an essential part of the overall management of this pathology. The use of botulinum toxin has revolutionized results in greatly improving facial symmetry. The toxin can be used either the healthy side of the face by treating the compensatory hyperactivity of non-paralyzed side of the face or the paralyzed side (in the spastic forms) to treat synkinesis and spasms of the face on the pathologic side. This treatment course will be complemented by the rest of the therapeutic, i.e. rehabilitation and surgical treatment.
面瘫后遗症的医学治疗是该病症整体管理的重要组成部分。肉毒杆菌毒素的使用彻底改变了治疗效果,极大地改善了面部对称性。该毒素可用于面部健康侧,以治疗未瘫痪侧的代偿性活动亢进,也可用于瘫痪侧(痉挛型),以治疗患侧面部的联带运动和痉挛。此治疗过程将辅以其他治疗方法,即康复治疗和手术治疗。