Daelen B, Thorwirth V, Koch A
Department of Neurology, Asklepios Kliniken Schildautal, Seesen, Germany.
Int J Oral Maxillofac Surg. 1997 Dec;26(6):458-60. doi: 10.1016/s0901-5027(97)80014-8.
A case is reported of a 56-year-old woman who suffered from recurrent dislocations of the temporomandibular joint (TMJ) secondary to an exacerbated tetraspastic syndrome of multiple sclerosis. Following chemical denervation of the masseter and pterygoid muscles with injections of type A botulinum toxin, no further dislocations occurred for periods of up to four months. The treatment has been repeated five times. Some of the indications and possible adverse reactions to this therapy are discussed and comparisons made with other, conventional methods for managing recurrent dislocation of the TMJ.
报告了一例56岁女性病例，该患者因多发性硬化症加重导致的四肢痉挛综合征而反复出现颞下颌关节（TMJ）脱位。在用A型肉毒杆菌毒素注射对咬肌和翼状肌进行化学去神经支配后，长达四个月的时间内未再发生脱位。该治疗已重复进行了五次。讨论了该疗法的一些适应症和可能的不良反应，并与其他治疗TMJ复发性脱位的传统方法进行了比较。
