注射肉毒杆菌毒素辅助治疗机械下巴吸脂术后并发症一例

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2025-01-28 DOI:10.1016/j.ajoms.2025.01.015

Letícia Laura Martinez , Juliana Aparecida Jellmayer , Camilla Beatriz Pallone , Bianca Pires Nepomuceno , Pâmela Letícia Santos , Thallita Pereira Queiroz

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引用次数: 0

摘要

摘要报告一例颏下脂肪机械抽脂后面瘫的临床病例，采用低水平激光治疗（LLLT）、肉毒杆菌毒素治疗（BT）和臭氧治疗（OZ），解决神经再生和肌肉张力相关因素。为此，一位40岁的女性患者在机械吸脂后提出了面部不对称的主要主诉。建议的治疗包括应用LLLT和OZ来刺激受累神经的再生，以及BT通过遵循肌肉收缩模式来减少不对称。患者在应用BT后30天重新评估，结果令人满意。由此可见，低水平激光联合臭氧治疗对颏下脂肪机械抽脂所致面瘫的恢复有重要作用。此外，肉毒杆菌毒素有助于纠正面部不对称，从而改善面部美观，恢复患者的自尊。证据等级：四级，案例研究。

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A case of shot for botulinum toxin as an adjuvant in the treatment of complications after mechanical chin liposuction

To report a clinical case of facial paralysis treatment following mechanical liposuction of submental fat, using low-level laser therapy (LLLT), botulinum toxin (BT), and ozone therapy (OZ), addressing the factors involved in nerve regeneration and muscle tone. For this, a 40-year-old female patient presented with the main complaint of facial asymmetry after mechanical liposuction of submental fat. The proposed treatment included the application of LLLT and OZ to stimulate the regeneration of the involved nerve, and BT to reduce asymmetry by following the pattern of muscle contractions. The patient was re-evaluated 30 days after the BT application, showing satisfactory results. Thus, it was possible to conclude the combined application of low-level laser therapy and ozone therapy played a fundamental role in the recovery of facial paralysis resulting from mechanical liposuction of submental fat. Additionally, botulinum toxin contributed to the correction of facial asymmetries and consequently improved facial aesthetics, restoring the patient's self-esteem.