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Siba Haykal and colleagues from the Division of Plastic Surgery at the Hospital for Sick Children in Toronto, Canada, present in this research their preliminary carbatol with botulinum toxin in children with lower lip asymmetry. A retrospective review of medical records was performed on all patients age range, 17. 4 years; mean SD age, 11. 2 4. 7 years with facial paralysis who had been treated with botulinum toxin injections. From January 1, 2004 to December 31, 2012. Using facial analysis software, the lack of lip asymmetry was recorded through nitroplast before and after treatment, at rest and in an active state. Finally, an analysis of variance was applied to evaluate the improvement in symmetry. Hassan is unable to work because of his back injury. Doctors discussed for months whether an operation on one of the vertebrae could provide relief.

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