Grinberg Nadav, Whitefield Sara, Kleinman Shlomi, Frenkel Gal, Peleg Oren
Trainee, Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel; Physician, "Bina" Program, Medical Corps (IDF) and Faculty of Dental Medicine, Hebrew University, Jerusalem, Israel.
Attending Physician, Oral Medicine Unit, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
J Oral Maxillofac Surg. 2024 May;82(5):525-530. doi: 10.1016/j.joms.2024.02.007. Epub 2024 Feb 16.
Botulinum toxin (BTX) injection is a common treatment for bruxism, but there is no literature on potential salivary gland complications. This paper presents a case of acute parotitis in a 60-year-old female following BTX injections to the masseter muscle. This case highlights the possible salivary gland complications after injection of BTX into the masticatory muscles. An electronic search of PubMed and Embase databases was conducted to create a literature review in order to delve into the etiology behind the presented case and suggest potential preventive measures to avoid salivary gland complications. Thirty-one articles are reviewed and discussed. Currently, there is no consensus on the causes of the mentioned complication. However, various factors have been proposed, encompassing anatomical, physiological, biological, and physical aspects. Several methods have been recommended for the safe injection of BTX, which, along with better medical training and knowledge, are warranted to achieve predictable results.
肉毒杆菌毒素（BTX）注射是治疗磨牙症的常用方法，但尚无关于潜在唾液腺并发症的文献。本文介绍了一名60岁女性在咬肌注射BTX后发生急性腮腺炎的病例。该病例突出了向咀嚼肌注射BTX后可能出现的唾液腺并发症。通过对PubMed和Embase数据库进行电子检索以进行文献综述，从而深入探究该病例背后的病因，并提出避免唾液腺并发症的潜在预防措施。共审查和讨论了31篇文章。目前，对于上述并发症的病因尚无共识。然而，已经提出了各种因素，包括解剖学、生理学、生物学和物理学方面。已经推荐了几种安全注射BTX的方法，这些方法与更好的医学培训和知识一起，对于取得可预测的结果是必要的。
