Abstract
To provide ENT surgeons with an up-to-date overview of the common cosmetic and non-cosmetic uses of botulinum toxin (BoNT) in the head and neck. We present a narrative summary of the pharmacology and commercial preparations; principles of use; cautions, contraindications and adverse effects; common cosmetic applications; common non-cosmetic applications; and recent cosmetic trends in the use of BoNT type A. The cosmetic and non-cosmetic applications of BoNT in the head and neck have rapidly expanded in recent years, with excellent outcomes and considerable demand from patients. It is essential for ENT surgeons to have a good awareness of BoNT and its applications to complement their practices for the benefit of their patients. This narrative review provides a concise, comprehensive and up-to-date overview of BoNT applications in the head and neck for today’s ENT surgeon.
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