Seok Hyun, Kim Seong-Gon, Kim Min-Keun, Jang Insan, Ahn Janghoon
1Department of Oral and Maxillofacial Surgery, Chungbuk National University Hospital, Cheongju, 28644 South Korea.
2Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 Jukhyun-gil, Gangneung, 25457 South Korea.
Maxillofac Plast Reconstr Surg. 2018 Mar 25;40(1):5. doi: 10.1186/s40902-018-0146-4. eCollection 2018 Dec.
The objective of this study was to evaluate the influence of masticatory muscle injection of botulinum toxin type A (BTX-A) on the growth of the mandibular bone in vivo.
Eleven Sprague-Dawley rats were used, and BTX-A ( = 6) or saline ( = 5) was injected at 13 days of age. All injections were given to the right masseter muscle, and the BTX-A dose was 0.5 units. All of the rats were euthanized at 60 days of age. The skulls of the rats were separated and fixed with 10% formalin for micro-computed tomography (micro-CT) analysis.
The anthropometric analysis found that the ramus heights and bigonial widths of the BTX-A-injected group were significantly smaller than those of the saline-injected group ( < 0.05), and the mandibular plane angle of the BTX-A-injected group was significantly greater than in the saline-injected group ( < 0.001). In the BTX-A-injected group, the ramus heights II and III and the mandibular plane angles I and II showed significant differences between the injected and non-injected sides ( < 0.05). The BTX-A-injected side of the mandible in the masseter group showed significantly lower mandibular bone growth compared with the non-injected side.
BTX-A injection into the masseter muscle influences mandibular bone growth.
本研究的目的是评估在体内咀嚼肌注射A型肉毒杆菌毒素(BTX-A)对下颌骨生长的影响。
使用11只Sprague-Dawley大鼠,在13日龄时注射BTX-A(n = 6)或生理盐水(n = 5)。所有注射均注入右侧咬肌,BTX-A剂量为0.5单位。所有大鼠在60日龄时安乐死。分离大鼠颅骨并用10%福尔马林固定,用于微型计算机断层扫描(micro-CT)分析。
人体测量分析发现,注射BTX-A组的下颌支高度和下颌角宽度明显小于注射生理盐水组(P < 0.05),注射BTX-A组的下颌平面角明显大于注射生理盐水组(P < 0.001)。在注射BTX-A组中,下颌支高度II和III以及下颌平面角I和II在注射侧和未注射侧之间存在显著差异(P < 0.05)。咬肌组中注射BTX-A侧的下颌骨生长明显低于未注射侧。
向咬肌注射BTX-A会影响下颌骨生长。