| Literature DB >> 20219583 |
Olga Vázquez Bouso1, Gabriel Forteza González, Jens Mommsen, Víctor Gumbao Grau, Javier Rodríguez Fernández, Mario Mateos Micas.
Abstract
Many patients suffer recurrent episodes of temporomandibular joint (TMJ) dislocation due to an excess of muscle contraction or spasticity in the depressor muscles of the jaw. The manual repositioning using the Nelaton maneuver is the first treatment. Occasionally, it may be necessary to use sedation or general anesthesia to achieve the desired muscle relaxation. In case of recurrence, surgical treatment is indicated. One nonsurgical method of treatment is the local infiltration of botulinum toxin type A. We present 4 cases of recurrent TMJ dislocation in patients suffering from conditions of neurologic origin, with considerable motor deterioration, treated with local infiltration of botulinum toxin type A. In conclusion, the injection of botulinum toxin type A is an effective method in cases of neurogenic TMJ dislocation, with low morbididty and side effects, improving patients' quality of life. Copyright 2010 Mosby, Inc. All rights reserved.Entities:
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Year: 2010 PMID： 20219583 DOI： 10.1016/j.tripleo.2009.10.046
Source DB: PubMed Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod ISSN： 1079-2104