Awareness and management of oculonasal synkinesis: case reports

Oculonasal synkinesis (OS) is a rare, benign condition marked by involuntary alar wing movement during blinking, usually unnoticed by patients. OS typically arises from nerve misdirection post-trauma, surgery, or inflammation, with most cases being congenital and idiopathic. We present two cases of congenital idiopathic OS. Case 1, a 26-year-old female with nasal congestion, was treated with 5 IU of Botox in the compressor narium minor muscles, resolving OS within a week. Case 2, a 28-year-old female with a cosmetic nasal deformity, underwent open rhinoplasty with careful muscle dissection, successfully resolving OS postoperatively. Both treatments were effective, highlighting the importance of personalized approaches. This report enhances the limited OS literature and includes rare video documentation, aiding in clinical awareness and management.