肉毒杆菌毒素用于治疗一名患有骨质疏松症患者的颞下颌关节复发性脱位。

Botulinum toxin used to treat recurrent dislocation of the temporomandibular joint in a patient with osteoporosis.

作者信息

Oztel Mehmet, Bilski Wojciech M, Bilski Arthur

机构信息

100 Angus Smith Drive, Douglas, QLD, 4814, Australia.

Consultant Oral and Maxillofacial surgeon at Lismore Base Hospital, 21 Dalley St, East Lismore NSW 2480, Australia.

出版信息

Br J Oral Maxillofac Surg. 2017 Jan;55(1):e1-e2. doi: 10.1016/j.bjoms.2016.05.012. Epub 2016 May 30.

DOI:10.1016/j.bjoms.2016.05.012

PMID:27256802

Abstract

Recurrent dislocations of the temporomandibular joint (TMJ) can be debilitating. We describe a patient with osteoporosis who presented to our regional centre where we have limited resources. We injected botulinum toxin into both of her lateral pterygoid muscles, and six months later she has not required further injections and has had no issues with tolerance of the procedure. Botulinum toxin is a safe, conservative approach to recurrent dislocations of the TMJ and can be given accurately by an experienced surgeon without the use of an electromyogram.

摘要

颞下颌关节（TMJ）复发性脱位会使人衰弱。我们描述了一名患有骨质疏松症的患者，她来到我们资源有限的地区中心。我们向她的双侧翼外肌注射了肉毒杆菌毒素，六个月后她无需进一步注射，且该治疗过程也没有耐受性问题。肉毒杆菌毒素是治疗TMJ复发性脱位的一种安全、保守的方法，经验丰富的外科医生无需使用肌电图就能准确注射。