Hilos de tracción de polidioxanona y toxina botulínica en el tratamiento de parálisis facial crónica: a propósito de 2 casos y revisión de la literatura

We report clinical cases of two patients who present chronic facial paralysis, with the anatomical, functional and self-perceived alterations that accompany this pathology. The sequelae present significantly affect self-esteem and impact the psychological condition of patients. A therapeutic alternative is proposed that associates the use of traction threads of Polydioxanone and Botulinum Toxin, tending to achieve, on the one hand, the elevation of the facial tissues fallen on the paralyzed side and, on the other hand, to decrease the contraction of the contralateral healthy musculature, thus allowing, reduce the existing facial asymmetry. We propose that such a procedure may constitute an interesting non-invasive therapeutic alternative, repeatable over time and that allows the functional and aesthetic sequelae present in those patients with long-lasting facial paralysis to be attenuated.