Botulinum toxin treatment for upper airway collapse resulting from temporomandibular joint dislocation due to jaw-opening dystonia
Botulinum toxin treatment for upper airway collapse resulting from temporomandibular joint dislocation due to jaw-opening dystonia
复制标题
DOI：
10.1179/crn.2006.035
复制
发表时间：
2006-07-01
影响因子：
1.6
通讯作者：
Iizuka, Tadahiko
中科院分区：
文献类型：
--
作者：
Yoshida, Kazuya;Iizuka, Tadahiko
为了检查肉毒杆菌毒素注射应用于治疗由于翼外肌过度活跃收缩引起的上呼吸道阻塞的效果，我们应用肉毒杆菌毒素注射。一位20岁的男性患者在糖尿病昏迷后出现不自主张口。他的嘴过度张开（84 mm），特别是当他处于紧张或压力状态时。这导致了双侧颞下颌关节脱位，因此，上呼吸道塌陷。鉴别诊断为开颌口下颌肌张力障碍。将A型肉毒杆菌毒素双侧注射到翼外肌中。过度张口减少，注射后患者未出现颞下颌关节（TMJ）脱位或出现任何进一步的气道塌陷。我们成功应用肉毒杆菌毒素治疗一位上呼吸道阻塞及颞下颌关节脱位的患者。
To examine the effects of botulinum toxin injection application for the treatment of upper airway obstruction due to hyperactive lateral pterygoid muscle contraction, we applied botulinum toxin injection. A 20 year-old male patient had involuntary mouth opening after a diabetic coma. His mouth opened excessively (84 mm) particularly when he was in a nervous or stressed condition. This resulted in a bilateral temporomandibular dislocation and, consequently, upper airway collapse. The differential diagnosis of jaw-opening oromandibular dystonia was made. Botulinum toxin type A was bilaterally injected into the lateral pterygoid muscle. The excessive mouth opening was reduced, and the patient showed no temporomandibular joint (TMJ) dislocation or experienced any further airway collapse after the injections. We successfully applied botulinum toxin to a patient with upper airway obstruction and TMJ dislocation relative to jaw-opening dystonia.