Effect of Botulinum Toxin Application on Facial Lacerations: A Comparative Study .

Khalil, Ann S.M; Darwish, Abdou M. A.; Hassan, Khaled M.; Hassan, Mohamed F.

doi:10.21608/mjmr.2025.352757.1879

Effect of Botulinum Toxin Application on Facial Lacerations: A Comparative Study .

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Document Type : Original Article

Authors

¹ Plastic surgery department, faculty of Medicine, Minia University, Egypt

² Professor of Plastic Surgery, Faculty of Medicine, Minia University, Egypt

³ Professor of Plastic and Hand surgery, Plastic Surgery Department, Faculty of Medicine, Minia University, Egypt

⁴ Lecturer at Plastic Surgery Department, Faculty of Medicine, Minia University, Egypt

10.21608/mjmr.2025.352757.1879

Abstract

Background: Facial lacerations are frequent injuries encountered in clinical practice. Proper management is crucial to minimize scarring and preserve the aesthetic appearance. Traditional techniques for scar management include meticulous wound closure, topical treatments, and corticosteroid injections. However, recent advancements have new approaches, such as the use of botulinum toxin type A (Botox), to enhance wound healing and improve cosmetic outcomes.

Aim and objectives: To evaluate the effect of Botox on improving the wound healing and minimize the scar width.

Subjects and methods: This was a prospective, comparative, scar split, clinical study that was conducted on 20 patients who underwent injection of Botox on half of length of facial lacerations from January 2024 to December 2024 at Plastic Surgery Department in Minia University Hospitals.

Results: the mean percentage of improvement was significantly higher among (Botox half) than (control half). Also there was significant difference regarding mean difference in total score of Vancouver scar assessment scale (VSS) after 6 months (p value <0.05).

The Botox group consistently had narrower scars compared to the control group, as there was significant difference at 1,3,6 months postoperative. (p value <0.05).

Conclusion: It has found that the half of facial scar which had been injected by Botox was aesthetically more acceptable and less in width than the control side.

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