Documenta Ophthalmologica

, Volume 86, Issue 4, pp 395–402

Orbicular synkinesis after facial paralysis: Treatment with botulinum toxin


  • P. Roggenkämper
    • University Eye Hospital
  • R. Laskawi
    • University ENT Hospital
  • W. Damenz
    • University ENT Hospital
  • M. Schröder
    • ENT DepartmentStädtische Kliniken
  • Z. Nüssgens
    • University Eye Hospital

DOI: 10.1007/BF01204598

Cite this article as:
Roggenkämper, P., Laskawi, R., Damenz, W. et al. Doc Ophthalmol (1994) 86: 395. doi:10.1007/BF01204598


Involuntary lid closure not rarely accompanies aberrant regeneration of nerve fibers after different types of facial paralysis. 23 patients with such synkinesis were treated with botulinum toxin injections into the orbicularis oculi muscle. After periocular injections all patients showed much improvement: a period of, on the average, 13 symptom-free weeks was followed by a period of minimal symptoms. There were only minor complications. Whenever repeated treatment is necessary, botulinum toxin proves to be an effective therapy for involuntary lid closure after defective healing following facial paralysis.

Key words

Aberrant regenerationBotulinum toxinFacial paralysisOrbicular synkinesis

Copyright information

© Kluwer Academic Publishers 1994