Al Mahmoudy, N., llam, A., El Barbary, A. (2019). The Use of Botulinium Toxin as a Nonsurgical Adjuvant in the Closed Management of Condylar/Subcondylar Fractures. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), 301-306. doi: 10.21608/ejprs.2019.65106
Niveen F Al Mahmoudy; Allam llam; Amir El Barbary. "The Use of Botulinium Toxin as a Nonsurgical Adjuvant in the Closed Management of Condylar/Subcondylar Fractures". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 2, 2019, 301-306. doi: 10.21608/ejprs.2019.65106
Al Mahmoudy, N., llam, A., El Barbary, A. (2019). 'The Use of Botulinium Toxin as a Nonsurgical Adjuvant in the Closed Management of Condylar/Subcondylar Fractures', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), pp. 301-306. doi: 10.21608/ejprs.2019.65106
Al Mahmoudy, N., llam, A., El Barbary, A. The Use of Botulinium Toxin as a Nonsurgical Adjuvant in the Closed Management of Condylar/Subcondylar Fractures. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(2): 301-306. doi: 10.21608/ejprs.2019.65106
The Use of Botulinium Toxin as a Nonsurgical Adjuvant in the Closed Management of Condylar/Subcondylar Fractures
1The Departments of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo
2The Departments of Radiodiagnosis, Faculty of Medicine, Ain Shams University, Cairo
Abstract
Background: Mandibular condylar fractures are common, with prevalence between 25% and 35% of all mandibular fractures. In children, the condylar fractures are usually managed with maxilla-mandibular fixation, where as in adults the treatment of condylar fractures remains controversial. Several investigators validated the use of Botulinium Toxin (BTX) for treatment of recurrent temporomandibular joint dislocation. However, there are very limited studies that assessed (BTX) injection in the management of condylar/ subcondylar fractures. Patients and Methods: Ten patients presenting with condylar/ subcondylar fractures either isolated or associated with other mandibular fracture were treated by Ultrasound guided (BTX) injection to Lateral Pterygoid Muscle (LPM) followed by application of arch bar and guiding elastics 2-3 days later. Results: Patients retained good occlusion with unrestricted mouth opening. Minor deviation upon mouth opening was observed in some of the cases. Good alignment of the condylar /subcondylar fracture was documented radiologically over a minimum of three-month follow-up period. Conclusion: The use of botulinium toxin in condylar fractures is safe, and can be used as nonsurgical adjuvant in management of condylar/subcondylar fractures
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