Botulinum toxin and facial palsy

The therapeutic indication of peripheral facial paralysis depends on the degree of nerve injury. A severe facial palsy (electroneuronografic study less than or equal to 10%) develops into a healing sequelae. The sequelae of facial paralysis are the contractures, hemifacial spasm and synkinesis. Our experience demonstrates that these patients may benefit from rehabilitation treatment (facial exercices and botulinum toxin). We present our work with patients affected by severe peripheral facial paralysis. They were treated from the beginning of reinnervation by facial exercises according to the Wisconsin School and botulinum toxin. We observe that the subjective and objective efficacy of rehabilitation is high. Rehabilitation treatment can inform the patient about his chances of recovery, take control and quality of facial expression, greater facial symmetry and thus provide better functionality and quality of life. © 2012 by Nova Science Publishers, Inc. All rights reserved.