Abstract
Involuntary lid closure not rarely accompanies aberrant regeneration of nerve fibers after different types of facial paralysis. 23 patients with such synkinesis were treated with botulinum toxin injections into the orbicularis oculi muscle. After periocular injections all patients showed much improvement: a period of, on the average, 13 symptom-free weeks was followed by a period of minimal symptoms. There were only minor complications. Whenever repeated treatment is necessary, botulinum toxin proves to be an effective therapy for involuntary lid closure after defective healing following facial paralysis.
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Stennert E. Das Autoparalytische Syndrom - ein Leitsymptom der postparetischen Fazialisfunktion. Arch Otorhinolaryngol 1982; 236: 97–114.
Roggenkämper P. Blepharospasmus-Behandlung mit Botulinus-Toxin (Verlaufsbeobachtungen). Klin Monatsbl Augenheilk 1986; 189: 283–285
Scott AB. Botulinum toxin therapy of eye muscle disorders. Safety and effectiveness (Ophthalmic Procedures Assessment, American Academy of Ophthalmology). Ophthalmology 1989; Instrument and Book Issue
Dengler R, Konstanzer A, Ceballos-Baumann AO. Lokale Therapie mit Botulinum Toxin A bei fokalen Dystonien. Akt Neurol 1990; 17: 133–138
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Roggenkämper, P., Laskawi, R., Damenz, W. et al. Orbicular synkinesis after facial paralysis: Treatment with botulinum toxin. Doc Ophthalmol 86, 395–402 (1994). https://doi.org/10.1007/BF01204598
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DOI: https://doi.org/10.1007/BF01204598