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Correction of Post-traumatic Lower Lip Asymmetry Using Botulinum Toxin Type A

보톡스를 이용한 외상 후 하순 비대칭 교정

  • Seok, Hyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Sang-Woon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Min-Keun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Sang-Wook (Department of Dentistry, Hallym University Kangnam Sacred Heart Hospital) ;
  • Park, Young-Ju (Department of Dentistry, Hallym University Kangnam Sacred Heart Hospital)
  • 석현 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 이상운 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 김민근 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 김성곤 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 박영욱 (강릉원주대학교 치과대학 구강악안면외과학교실) ;
  • 박상욱 (한림대학교 강남성심병원 치과) ;
  • 박영주 (한림대학교 강남성심병원 치과)
  • Received : 2013.02.22
  • Accepted : 2013.07.25
  • Published : 2013.07.31

Abstract

Botulinum toxin type A (BTX-A) inhibits muscle contraction, which leads to reversible muscle atrophy and paralysis. Therefore, BTX-A injection can be an effective treatment of facial asymmetry that originated from the uncoordinated muscle movement. A 52-year-old patient was referred from another hospital for the correction of post-traumatic sequelae. The patient had prominent scar in the mandibular symphysis area with asymmetric lower lip movement. The reason for this asymmetric lower lip movement was due to damage in the lower lip depressor muscle. After the injection of BTX-A on the lower lip depressors, asymmetric lip movement has been improved.

Keywords

References

  1. Tan ST. Anterior belly of digastric muscle transfer: a useful technique in head and neck surgery. Head Neck 2002;24:947-54. https://doi.org/10.1002/hed.10150
  2. Tulley P, Webb A, Chana JS, et al. Paralysis of the marginal mandibular branch of the facial nerve: treatment options. Br J Plast Surg 2000;53:378-85. https://doi.org/10.1054/bjps.2000.3318
  3. Terzis JK, Kalantarian B. Microsurgical strategies in 74 patients for restoration of dynamic depressor muscle mechanism: a neglected target in facial reanimation. Plast Reconstr Surg 2000;105:1917-31. https://doi.org/10.1097/00006534-200005000-00001
  4. Chen CK, Tang YB. Myectomy and botulinum toxin for paralysis of the marginal mandibular branch of the facial nerve: a series of 76 cases. Plast Reconstr Surg 2007;120:1859-64. https://doi.org/10.1097/01.prs.0000287136.22709.77
  5. Erbguth FJ. Historical notes on botulism, Clostridium botulinum, botulinum toxin, and the idea of the therapeutic use of the toxin. Mov Disord 2004;19 Suppl 8:S2-6.
  6. Erbguth FJ. From poison to remedy: the chequered history of botulinum toxin. J Neural Transm 2008;115:559-65. https://doi.org/10.1007/s00702-007-0728-2
  7. Gadhia K, Walmsley AD. Facial aesthetics: is botulinum toxin treatment effective and safe? A systematic review of randomised controlled trials. Br Dent J 2009;207:E9. https://doi.org/10.1038/sj.bdj.2009.813
  8. Carruthers A, Carruthers J. History of the cosmetic use of Botulinum A exotoxin. Dermatol Surg 1998;24:1168-70.
  9. Benedetto AV. The cosmetic uses of Botulinum toxin type A. Int J Dermatol 1999;38:641-55. https://doi.org/10.1046/j.1365-4362.1999.00722.x
  10. Klein AW. Dilution and storage of botulinum toxin. Dermatol Surg 1998;24:1179-80.
  11. Godwin Y, Tomat L, Manktelow R. The use of local anesthetic motor block to demonstrate the potential outcome of depressor labii inferioris resection in patients with facial paralysis. Plast Reconstr Surg 2005;116:957-61. https://doi.org/10.1097/01.prs.0000178043.15510.75
  12. Clark RP, Berris CE. Botulinum toxin: a treatment for facial asymmetry caused by facial nerve paralysis. Plast Reconstr Surg 1989;84:353-5. https://doi.org/10.1097/00006534-198908000-00027
  13. Hussain G, Manktelow RT, Tomat LR. Depressor labii inferioris resection: an effective treatment for marginal mandibular nerve paralysis. Br J Plast Surg 2004;57:502-10. https://doi.org/10.1016/j.bjps.2004.04.003
  14. Hexsel C, Hexsel D, Porto MD, Schilling J, Siega C. Botulinum toxin type A for aging face and aesthetic uses. Dermatol Ther 2011;24:54-61. https://doi.org/10.1111/j.1529-8019.2010.01378.x
  15. Jaspers GW, Pijpe J, Jansma J. The use of botulinum toxin type A in cosmetic facial procedures. Int J Oral Maxillofac Surg 2011;40:127-33. https://doi.org/10.1016/j.ijom.2010.09.014