ENT Department, Pitié-Salpêtrière's Hospital, Sorbonne Université, 7-83 Boulevard de l'Hôpital, 75013 Paris, France.
Toxins (Basel). 2024 Mar 20;16(3):161. doi: 10.3390/toxins16030161.
Long-standing facial palsy sequelae cause functional, aesthetic, and psychological problems in patients. Botulinum toxin is an effective way to manage them, but no standardized recommendations exist. Through this non-systematic review, we aimed to guide any practitioner willing to master the ins and outs of this activity. We reviewed the existing literature and completed, with our experience as a reference center, different strategies of botulinum toxin injections used in facial palsy patients, including history, physiopathology, facial analysis, dosages, injection sites, and techniques, as well as time intervals between injections. The reader will find all the theorical information needed to best guide injections according to the patient's complaint, which is the most important information to consider.
面瘫后遗症会给患者带来功能、美观和心理问题。肉毒毒素是一种有效的治疗方法,但目前还没有标准化的推荐意见。通过本次非系统性综述,我们旨在为任何有意愿掌握这一治疗活动细节的医生提供指导。我们回顾了现有文献,并结合我们作为参考中心的经验,总结了不同策略下用于面瘫患者的肉毒毒素注射方法,包括病史、病理生理学、面部分析、剂量、注射部位和技术,以及注射间隔时间。读者将找到根据患者的具体症状来指导注射所需的所有理论信息,这是最重要的考虑因素。