HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Neurogenic temporomandibular joint dislocation treated with botulinum toxin: report of 4 cases.

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.
AuthorsOlga Vázquez Bouso, Gabriel Forteza González, Jens Mommsen, Víctor Gumbao Grau, Javier Rodríguez Fernández, Mario Mateos Micas
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 109 Issue 3 Pg. e33-7 (Mar 2010) ISSN: 1528-395X [Electronic] United States
PMID20219583 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright 2010 Mosby, Inc. All rights reserved.
Chemical References
  • Botulinum Toxins, Type A
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Botulinum Toxins, Type A (therapeutic use)
  • Female
  • Humans
  • Injections, Intramuscular
  • Joint Dislocations (drug therapy, etiology)
  • Male
  • Muscle Relaxation (drug effects)
  • Muscle Spasticity (drug therapy, etiology)
  • Nervous System Diseases (complications, drug therapy)
  • Pterygoid Muscles (drug effects, innervation, physiopathology)
  • Secondary Prevention
  • Temporomandibular Joint (pathology)
  • Temporomandibular Joint Disorders (drug therapy, pathology)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: