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The Egyptian Journal of Plastic and Reconstructive Surgery
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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

Article 22, Volume 43, Issue 2, July 2019, Page 301-306  XML PDF (13.35 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2019.65106
View on SCiNiTO View on SCiNiTO
Authors
Niveen F Al Mahmoudy* 1; Allam llam2; Amir El Barbary1
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
Keywords
Condylar/subcondylar fracture – Botulinium; toxin
Main Subjects
Maxillofacial and cranio-maxillo-facial surgery; New technologies and products
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