Efficiency of ultrasound and water capsule-guided local injection of botulinum toxin type A treatment on patients with facial spasm

X.-D. Ding, H.-X. Chen, H.-Q. Xiao, W. Wang, H. Wang, G.-B. Zhang

Department of Rehabilitation, Xiangyang Hospital Affiliated to Hubei University of Medicine, Xiangyang, Hubei Province, China. dingxd1018@163.com

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• Neurology

OBJECTIVE: To study the efficacy of ultrasound and water capsule-guided loca1 injection of botulinum toxin type A (BTX-A) treatment on patients with facial spasm.

PATIENTS AND METHODS: One hundred and fifty-seven cases of facial spasm were randomly divided into oral drug treatment group (group A) (78 cases) and ultrasound and water capsule-guided local injection of botulinum toxin type A treatment group (group B) (79 cases). Cohen, Acbert spasm strength grade scores in each case with facia1 spasm were recorded. Therapeutic effect, duration, significant efficiency, and muscle spasm strength were compared before and three after treatment.

RESULTS: The muscle spasm strength showed no significant change in group A after the treatment. However, the muscle spasm strength was decreased significantly in group B after treatment (p < 0.01).

CONCLUSIONS: Ultrasound and water capsule-guided local injection of botulinum toxin type A treatment is a safe, effective, and simple treatment for patients with facial spasm.

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