Bhatnagar Anuj, Rai Roma, Kumar Sanjay, Mitra Barnali, Chopra Ajay, Singh Gautam Kumar, Mitra Debdeep, Patil Chetan, Sandhu Sunmeet
Drs. Bhatnagar, Kumar, B. Mitra, Patil, D. Mitra, and Sandhu are with Command Hospital Air Force Bangalore in Bangalore, India.
Dr. Rai is with Command Hospital Air Force Pune in Pune, India.
J Clin Aesthet Dermatol. 2022 Feb;15(2):26-29.
Facial nerve palsy often leads to functional and physiological impairment in patients and they often suffer from social stigma. The use of polydiaxone (PDO) threads has long been used to treat facial furrows and age-related sagging in the face. The basic principle of the thread lift procedure is placing cogged threads in the subcutaneous plane along a planned trajectory. The efficacy and ease of this procedure compared to a traditional face lift has made PDO threads a popular option in the past three decades.
We treated 50 patients with a drooping face on one side following facial paralysis with thread lifting and botulinum injections to control contralateral hypertrophy and ipsilateral synkinesis. The Facial Grading System or the serial Sunnybrook Facial Grading System (SB scores) was used to assess at all the visits and serial photographs were recorded.
Following the threading procedure, all 50 patients displayed improved facial symmetry. There was significant improvement in the baseline SB scores compared to the scores over following year, with all the scores having significant value less than 0.05.
Based on our results, subdermal suspension with re-absorbable threads in conjunction with botulinum toxin constitutes an efficient and safe procedure for face lifting and rejuvenation of a drooping face as a result of long-lasting facial paralysis.
面神经麻痹常导致患者出现功能和生理障碍，且他们常遭受社会歧视。聚二氧六环酮（PDO）线长期以来一直用于治疗面部皱纹和面部与年龄相关的松弛。线雕手术的基本原理是沿着预定轨迹将带齿的线置于皮下平面。与传统面部提升术相比，该手术的疗效和简便性使PDO线在过去三十年中成为一种受欢迎的选择。
我们对50例一侧面瘫后面部下垂的患者进行了线雕及肉毒杆菌注射治疗，以控制对侧肥大和同侧联动。在每次就诊时使用面部分级系统或系列桑尼布鲁克面部分级系统（SB评分）进行评估，并记录系列照片。
线雕手术后，所有50例患者的面部对称性均有改善。与次年的评分相比，基线SB评分有显著改善，所有评分的P值均小于0.05。
根据我们的结果，皮下可吸收线悬吊联合肉毒杆菌毒素是一种有效且安全的手术方法，可用于因长期面瘫导致的面部下垂的提升和年轻化。
