Evaluation of the body image of patients with facial palsy before and after the application of botulinum toxin

Abstract

Background The face is responsible for nonverbal communication. Facial nerve paralysis, which is the weakness or paralysis of the nerve responsible for the innervation of the muscles that perform these movements, is a condition that can raise serious physical, psychological, social, professional, aesthetic, and functional disorders. The physical aspect has a disastrous effect on the patient's self‐image and emotional state. This study aimed to evaluate the self‐image of patients with facial paralysis through the Body Image Quality Life Index (BIQLI), pre‐ and postclinical treatment with botulinum toxin. Method A prospective, exploratory, comparative cohort was carried out, with quantitative analysis of the variables with 40 patients with facial paralysis treated by the Ambulatory of Plastic Surgery of Hospital das Clínicas, Faculty of Medicine, University of São Paulo. The Sociodemographic and clinical instrument and the BIQLI were applied. Descriptive statistics and statistical inference were used to perform the analyses. Results It was found that the majority of the paralysis occurred in female individuals (55%), with an average age of 47,875 (DP), single and married (38.88%), and with secondary education completed (16.66%). Conclusion The body image evaluation of patients with facial paralysis submitted to the botulinum toxin treatment showed an ability to identify the positive impact of therapy in the period between 15 and 180 days by the BIQLI.

Patient reported outcome measures (PROMS) for body image in dermatology: A systematic review

“…The Body Image Quality of Life Inventory (BIQLI) 19 , 20 , 21 is a 19 item 7‐point Likert scale from −3 very negative to +3 very positive: ‘How confident I feel in my everyday life’. The BIQLI has been used in cutaneous lupus erythematosus 22 in facial palsy before and after botulinum toxin injection 23 before and after injectable procedures for facial ageing. 24 …”

“…everyday life'. The BIQLI has been used in cutaneous lupus erythematosus 22 in facial palsy before and after botulinum toxin injection 23 before and after injectable procedures for facial ageing. 24 The BIQLI has been adapted to Danish.…”

Role of Body Dysmorphic Disorder in Patients With Postparalytic Facial Synkinesis

“…Then, PFS patients with BDD should receive standard therapeutic approaches that have been proved successful. Recently, as an alternative to cognitive behavioral therapy, it has been shown that the treatment of facial synkinesis with botulinum toxin significantly improved the body image of PFS patients as indexed by the Body Image Quality of Live Inventory 46 . It would be worthwhile to investigate if botulinum toxin application also improves BDD.…”

Impact of Botulinum Toxin Injections on Quality of Life of Patients with Long-Standing Peripheral Facial Palsy

“…These esthetic and functional symptoms are responsible for major social and psycho-affective repercussions, with significant repercussions in body image and socio-professional interactions [ 14 ]. The psychosocial and aesthetic consequences of PFP are substantial and often underestimated.…”