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肉毒杆菌神经毒素在头颈部疾病中的治疗应用。

Therapeutic applications of botulinum neurotoxins in head and neck disorders.

作者信息

Alshadwi Ahmad, Nadershah Mohammed, Osborn Timothy

机构信息

Department of Oral and Maxillofacial Surgery, Boston University-Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, United States ; King Feisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Academic Faculty King Abdulaziz University-Dental School, Jeddah, Saudi Arabia.

出版信息

Saudi Dent J. 2015 Jan;27(1):3-11. doi: 10.1016/j.sdentj.2014.10.001. Epub 2014 Dec 13.

Abstract

OBJECTIVE

The aim of this article is to review the mechanism of action, physiological effects, and therapeutic applications of botulinum neurotoxins in the head and neck area.

STUDY DESIGN

An extensive literature search was performed using keywords. The resulting articles were analyzed for relevance in four areas: overview on botulinum neurotoxins, the role of botulinum neurotoxins in the management of salivary secretory disorders, the role of botulinum neurotoxins in the management of facial pain, and the role of botulinum neurotoxins in head and neck movement disorders. Institutional review board approval was not needed due the nature of the study.

RESULTS

Botulinum neurotoxin therapy was demonstrated to be a valuable alternative to conventional medical therapy for many conditions affecting the head and neck area in terms of morbidly, mortality, and patient satisfaction with treatment outcomes.

CONCLUSION

Botulinum neurotoxin therapy provides viable alternatives to traditional treatment modalities for some conditions affecting the head and neck region that have neurological components. This therapy can overcome some of the morbidities associated with conventional therapy. More research is needed to determine the ideal doses of botulinum neurotoxin to treat different diseases affecting the head and neck regions.

摘要

目的

本文旨在综述肉毒杆菌神经毒素在头颈部区域的作用机制、生理效应及治疗应用。

研究设计

使用关键词进行广泛的文献检索。对检索出的文章在四个方面进行相关性分析:肉毒杆菌神经毒素概述、肉毒杆菌神经毒素在唾液分泌紊乱管理中的作用、肉毒杆菌神经毒素在面部疼痛管理中的作用以及肉毒杆菌神经毒素在头颈部运动障碍中的作用。由于研究性质,无需机构审查委员会批准。

结果

就发病率、死亡率及患者对治疗结果的满意度而言,肉毒杆菌神经毒素疗法被证明是治疗许多影响头颈部区域疾病的传统医学疗法的一种有价值的替代方法。

结论

对于一些影响头颈部区域且具有神经学成分的病症,肉毒杆菌神经毒素疗法为传统治疗方式提供了可行的替代方案。这种疗法可以克服与传统疗法相关的一些发病率问题。需要更多研究来确定治疗影响头颈部区域不同疾病的肉毒杆菌神经毒素的理想剂量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6455/4273262/79f2de2c875b/gr1.jpg

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