Treating Buccinator With Botulinum Toxin in Patients With Facial Synkinesis: A Previously Overlooked Target

Ophthalmic Plastic and Reconstructive Surgery
Leslie A WeiMark J Lucarelli

Abstract

Synkinesis after facial nerve injury produces functional and cosmetic concerns for patients. The purpose of this study was to review the authors' experience of treating buccinator synkinesis with botulinum toxin. This was a retrospective medical records review. All patients seen at the University of Wisconsin Neuromuscular Retraining Clinic who were treated with botulinum injections to the buccinator muscle were included. After a period of neuromuscular retraining lasting 6 to 12 months, botulinum injections were administered to the anterior, middle, and/or posterior aspect of buccinator by the senior author via an intraoral approach. The sites and dosage of the injections depended substantially on input from the therapist overseeing the patient's neuromuscular retraining therapy. Data on patient age, gender, indication for treatment, location and dose of botulinum administration, and outcome were collected. The Synkinesis Assessment Questionnaire (SAQ) was used as a patient-reported outcome measure. Descriptive statistics were computed for all recorded variables. A total of 42 patients with synkinesis involving the buccinator were treated. Female-to-male ratio was 9:1, and follow up ranged from 5 months to 18 years. The indica...Continue Reading

References

Mar 1, 1991·Plastic and Reconstructive Surgery·J O Guerrissi
Jan 1, 1982·International Rehabilitation Medicine·R BallietP Bach-y-Rita
Jan 1, 1994·Documenta Ophthalmologica. Advances in Ophthalmology·P RoggenkämperZ Nüssgens
Mar 1, 1996·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B G RossJ M Nedzelski
Nov 1, 2002·Clinical Neuropharmacology·Federico MicheliGabriela Raina
May 3, 2007·The Laryngoscope·Ritvik P MehtaTessa A Hadlock
Mar 19, 2008·Archives of Facial Plastic Surgery·Ritvik P Mehta, Tessa A Hadlock
Feb 17, 2010·Disability and Rehabilitation·Elena Dalla ToffolaMaurizio Bejor
Apr 20, 2010·Acta otorrinolaringológica española·María Luisa Navarrete AlvaroLuisa Torrent
Jan 15, 2013·The Laryngoscope·Marc H HohmanTessa A Hadlock
Mar 8, 2013·Ophthalmic Plastic and Reconstructive Surgery·Elaine R McElhinnyRoman Shinder
May 21, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ki Hoon ChoiJin Kim
Apr 26, 2014·The Laryngoscope·Anna Dall'AngeloElena D Toffola
May 9, 2014·Ophthalmic Plastic and Reconstructive Surgery·Steven M CouchJohn B Holds

❮ Previous
Next ❯

Citations

Jul 12, 2018·Current Opinion in Ophthalmology·Suzanne W van LandinghamMark J Lucarelli
Feb 1, 2019·JAMA Facial Plastic Surgery·Justin R ShinnScott J Stephan
Oct 4, 2017·JAMA Facial Plastic Surgery·Priyesh N PatelScott J Stephan
Aug 4, 2020·Journal of Cosmetic Dermatology·Yuanzhuo WangQiuning Sun
Sep 25, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Nneoma S WamkpahJohn J Chi
Dec 29, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Mervi Kanerva
Aug 28, 2021·Facial Plastic Surgery & Aesthetic Medicine·Laura T HetzlerSara MacDowell
Nov 28, 2021·Ear, Nose, & Throat Journal·Tom ShokriJessyka G Lighthall

❮ Previous
Next ❯

Related Concepts

Related Feeds

Botulism (ASM)

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

Botulism

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

Related Papers

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
R LaskawiA Baetz
International Ophthalmology Clinics
S R Carter, S R Seiff
Plastic and Reconstructive Surgery
Alan MatarassoPlastic Surgery Educational Foundation DATA Committee
The Journal of Craniofacial Surgery
Seung-Kyu HanWoo-Kyung Kim
© 2021 Meta ULC. All rights reserved