Evidence map›Paper›PMID 39668252›Full record

Trial reportAesthetic plastic surgery2025

Evaluation of the Efficacy of the Combined Therapy of Botulinum Toxin and Hyaluronic Acid Compared to Conservative Intervention in the Treatment of Chronic Peripheral Facial Paralysis of Oncologic Etiology.

Franco Patriani D'Andrea, Cristina Alessi, Cristiane Cárcano, Vanessa Tanaka, Bruno Alvares, Davi Brito, Isabela Alves Guerra, Ricardo Gama, Marcelo Riberto

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Franco Patriani D'AndreaDepartment of Dermatology, Hospital de Amor, Barretos, Brazil. franco.patriani@gmail.com.ORCID 0009-0000-2172-4276
Cristina AlessiDepartment of Dermatology, Hospital de Amor, Barretos, Brazil.ORCID 0009-0007-0819-2958
Cristiane CárcanoDepartment of Dermatology, Hospital de Amor, Barretos, Brazil.
Vanessa TanakaDepartment of Dermatology, Hospital de Amor, Barretos, Brazil.ORCID 0009-0002-8497-8307
Bruno AlvaresDepartment of Dermatology, Hospital de Amor, Barretos, Brazil.ORCID 0000-0002-0061-2969
Davi BritoDepartment of Dermatology, Hospital de Amor, Barretos, Brazil.ORCID 0000-0002-2725-9405
Isabela Alves GuerraDepartment of Dermatology, Hospital de Amor, Barretos, Brazil.ORCID 0000-0001-5578-3813
Ricardo GamaDepartment of head and Neck Surgery, Hospital de Amor, Barretos, Brazil.ORCID 0000-0003-4406-8958
Marcelo RibertoUniversidade de Ribeirão Preto (UNAERP), Ribeirão Preto, Brazil.ORCID 0000-0001-9549-8830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoplasms in the head and neck often lead to peripheral facial paralysis (PFP), impacting facial expression and causing psychological distress. Standard treatments involve physiotherapy, but botulinum toxin type A (BTA) and hyaluronic acid (HA) injections have shown promise in promoting facial symmetry.

aimTo assess the effectiveness of combined BTA and HA intervention in PFP patients, comparing it to conventional treatment (physiotherapy).

methodA single-blind, randomized clinical trial at Hospital de Amor de Barretos included 18 patients, with the control group receiving standard therapy and the combined therapy (CT) group receiving BTA and HA. Evaluations utilized the Sunnybrook facial grading scale (SFGS) and Psychosocial Facial Asymmetry Scale (EPAF) questionnaires, along with photographic analysis.

resultsCT significantly improved facial symmetry and psychosocial aspects compared to the control group. The SFGS scores increased by 27 points in CT versus 3 points in the control group, while EPAF scores decreased by 16 points in CT and increased by 1 point in the control group. Photographic analysis showed improved dynamic smiles in CT patients. Functional gains were more evident at 30 days, with continued improvement over four months. Psychosocial scores increased throughout the study. Only two CT patients reported transient issues with drinking and chewing.

conclusionThe study suggests the positive impact of combined therapy on psychosocial and functional aspects, emphasizing the need for further robust research to determine its therapeutic potential. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Botulinum Toxins, Type AFacial ParalysisHead and Neck NeoplasmsHyaluronic AcidAdultAgedChronic DiseaseCombined Modality TherapyFacial ExpressionFemaleFollow-Up StudiesHumansMaleMiddle AgedNeuromuscular AgentsRisk AssessmentBotulinum Toxins, Type AHyaluronic AcidNeuromuscular AgentsBotulinum toxinHyaluronic acidNeoplasmsPeripheral facial paralysisQuality of lifeRehabilitation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.