Аннотация:Introduction: Delayed facial palsy (DFP) is a common complication appearing ≥3 days after neurosurgery. In cases whereglucocorticoids are contraindicated, other treatments are needed.Methods: The efficacy of BoNT-A injections was evaluated in patients with DFP after vestibular schwannoma resection. Patientsreceived: Group I, BoNT-A (40–50 IU); Group II, prednisolone(1 mg/kg per day, 5–7 days); Group III, glucocorticoids withBoNT-A; Group IV, refused treatment. Functional efficacy wasassessed. Results: Among 75 patients, pretreatment facial nervedysfunction was mild, moderate, and moderate-to-severe in48.0%, 33.3%, and 18.7%, respectively. One month post-treatment initiation, Group III had a significantly higher rate of facialsymmetry normalization versus Groups II and IV (P < 0.05). After3 months, complete recovery of facial nerve function was significantly higher in Groups I–III versus Group IV (P < 0.05). Conclusion: BoNT-A injections may be recommended for DFP treatment to attenuate facial asymmetry and improve functional recovery.Keywords: delayed facial palsy, botulinum toxin type A,house–brackmann scale, rehabilitation.