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肉毒杆菌素注射后全眼睑下垂的治疗:病例报告

Treatment of Full Eyelid Ptosis Following Botox Injection: A Case Report.

作者信息

Musharbash Isam J, Chakra Rosalie J

机构信息

Dentistry, Dr. Isam Musharbash Clinic, Amman, JOR.

Dentistry, Dr. Rosalie Chakra Clinic, Irbid, JOR.

出版信息

Cureus. 2024 Mar 11;16(3):e55970. doi: 10.7759/cureus.55970. eCollection 2024 Mar.

DOI:10.7759/cureus.55970
PMID:38476507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10928411/
Abstract

We report the case of a 24-year-old woman who was referred to one of the authors' clinics after six days of botulinum toxin type A injection to treat dynamic lines on her forehead, glabella complex, and crow's feet area. Her first esthetic injection was done by another colleague elsewhere in a different clinic. Her main complaint was full eyelid ptosis, which started four days after her treatment and continued to aggravate until the time she sought our help. We treated it with another dose of botulinum toxins. The patient started to notice a gradual improvement in her eyelid five days after our injection, so on day 14th, her eyelid was very closely back to normal opening; complete recovery was achieved. Ptosis due to botulinum toxin injection was surprisingly and successfully reversed in our article by a second dose of botulinum toxins. This suggests that this management successfully treats such cases and can deliver a beneficial reversal option for practitioners and their patients. The case report concludes that ptosis should be promptly evaluated and treated through a multimodal approach.

摘要

我们报告了一名24岁女性的病例,她在接受A型肉毒杆菌毒素注射以治疗前额、眉间复合体和鱼尾纹区域的动态纹六天后,被转诊至作者所在的一家诊所。她的首次美容注射是由另一位同事在其他地方的不同诊所进行的。她的主要抱怨是上睑下垂,在治疗四天后开始出现,并持续加重,直到她寻求我们的帮助。我们用另一剂肉毒杆菌毒素对其进行了治疗。在我们注射五天后,患者开始注意到她的眼睑逐渐改善,因此在第14天时,她的眼睑几乎恢复到正常张开状态;实现了完全康复。在我们的文章中,令人惊讶的是,通过第二剂肉毒杆菌毒素成功逆转了因注射肉毒杆菌毒素导致的上睑下垂。这表明这种治疗方法成功地治疗了此类病例,并可以为从业者及其患者提供有益的逆转选择。该病例报告得出结论,应通过多模式方法及时评估和治疗上睑下垂。

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SAMCEP Society consensus on the treatment of upper facial lines with botulinum neurotoxin type A: A tailored approach.SAMCEP 学会关于 A 型肉毒毒素治疗上面部线条的共识:一种量身定制的方法。
J Cosmet Dermatol. 2023 Oct;22(10):2692-2704. doi: 10.1111/jocd.15768. Epub 2023 Jul 5.
2
Eyelid ptosis following botulinum toxin injection treated with briminodine 0.33% topical gel.使用0.33%溴莫尼定局部凝胶治疗肉毒杆菌毒素注射后引起的眼睑下垂。
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A Review of Complications Due to the Use of Botulinum Toxin A for Cosmetic Indications.
肉毒毒素 A 用于美容适应证所致并发症的综述。
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Apraclonidine in the treatment of ptosis.阿可乐定治疗上睑下垂。
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Management of Ptosis.上睑下垂的治疗
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Botulinum toxin.肉毒杆菌毒素
Indian J Dermatol. 2010;55(1):8-14. doi: 10.4103/0019-5154.60343.
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Treatment of ptosis as a complication of botulinum toxin injection.将肉毒杆菌毒素注射并发症所致上睑下垂的治疗。
Pain Med. 2005 Mar-Apr;6(2):149-51. doi: 10.1111/j.1526-4637.2005.05029.x.
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