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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Improvement of chronic facial pain and facial dyskinesia with the help of botulinum toxin application | Head Face Medicine BioMed Central Case report Open Access Improvement of chronic facial pain and facial dyskinesia with the help of botulinum toxin application Katharina Junghans Saskia Rohrbach Maik Ellies and Rainer Laskawi Address Department of Otorhinolaryngology Head and Neck Surgery University of Gottingen Robert-Koch-Str. 40 D-37075 Gottingen Germany Email Katharina Junghans - katharina.arnhold@medizin.uni-goettingen.de Saskia Rohrbach - saskia.rohrbach@web.de Maik Ellies - mellies@med.uni-goettingen.de Rainer Laskawi - rlaskaw@gwdg.de Corresponding author Published 22 August 2007 Received 8 June 2006 Head Face Medicine 2007 3 32 doi 10.1186 1746-160X-3-32 Accepted 22 August 2007 This article is available from http www.head-face-med.cOm content 3 1 32 2007 Junghans et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Facial pain syndromes can be very heterogeneous and need individual diagnosis and treatment. This report describes an interesting case of facial pain associated with eczema and an isolated dyskinesia of the lower facial muscles following dental surgery. Different aspects of the pain spasms and the eczema will be discussed. Case presentation In this patient persistent intense pain arose in the lower part of her face following a dental operation. The patient also exhibited dyskinesia of her caudal mimic musculature that was triggered by specific movements. Several attempts at therapy had been unsuccessful. We performed local injections of botulinum toxin type A BTX-A into the affected region of the patient s face. Pain relief was immediate following each set of botulinum toxin injections. The follow up time amounts 62 weeks. Conclusion Botulinum toxin type A BTX-A can be a safe and .