Botulinum Therapy in Facial Nerve Neuropathy

Abstract

Facial neuropathy leads to gross functional disorders, which is manifested by an aesthetic defect. Face distortion may be social desadaptive of the patient. One of the new, effective and promising methods of treatment offacial neuropathy is injections of botulinum toxin type A in the facial muscles. Therapy with botulinum toxin is used both in the acute period of the disease to improve symmetry, restore muscle functions of the affected side, prevent the development of contractures, and in the chronic period — for the same purpose, as well as for the correction of synkinesias. The method can be considered as aesthetics, because it is an alternative to plastic surgery. In order to eliminate lagophthalmos and prevent the development of ophthalmic complications, injections can be carried out in the muscle that raises the upper eyelid, causing temporary reversible drug ptosis. The range of issues for study is defined.