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BTX-A injection exhibits better results than those of surgery and had given safer and more satisfactory results and achieved the required cosmetic patient requirement than lip repositioning. BTX-A injection exhibits better results than those of surgery and had given safer and more satisfactory results and achieved the required cosmetic patient requirement than lip repositioning. The purpose of this study is to analyze the incidence of asphyxia, therapeutic measures, the outcomes of treatment of the wounded with impaired secure airway an