Selective chemodenervation with botulinum toxin in facial nerve disorders

  • Jon-Paul Pepper
    Address reprint requests and correspondence: Jon-Paul Pepper, MD, Center for Facial Cosmetic Surgery, 19900 Haggerty Road, Suite 103, Livonia, MI 48152
    Department of Otolaryngology, Head and Neck Surgery, University of Michigan Hospital and Health Systems, Ann Arbor, Michigan

    Center for Facial Cosmetic Surgery, University of Michigan, Livonia, Michigan
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  • Jennifer C. Kim
    Department of Otolaryngology, Head and Neck Surgery, University of Michigan Hospital and Health Systems, Ann Arbor, Michigan

    Center for Facial Cosmetic Surgery, University of Michigan, Livonia, Michigan
    Search for articles by this author
      Selective chemodenervation is an important adjunct in the management of several aspects of facial nerve paralysis and paresis. Herein, the authors describe the utility of chemodenervation in the treatment of the synkinesis and contralateral hyperkinesis often associated with facial nerve injury.


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