Velopharyngeal Insufficiency After Botox Injection for Persistent Bruxism

Author:

Evin Nuh1,Sifil Melih K.2,Aghazada Turan M.3,Özcan Ebru D.4,Guneren Ethem1

Affiliation:

1. Department of Plastic, Reconstructive and Aesthetic Surgery, Bezmialem Vakif University

2. Istanbul Provincial Health Directorate

3. Private Practice, Istanbul, Turkey

4. Department of Plastic and Reconstructive Surgery, Carol Davila University of Medicine, Bucharest, Romania

Abstract

Botulinum toxin type-A (BTX-A) injections have emerged as a promising treatment for bruxism and temporomandibular joint (TMJ) disorders. However, there is a need for further exploration of optimal dosage, injection techniques, and intervals to maximize treatment effectiveness. Complications, such as velopharyngeal insufficiency, can occur after BTX-A injections, emphasizing the importance of precautionary measures. The utilization of ultrasound guidance and electromyography assistance can aid in precise injections and minimize the risk of complications. In addition, patients should receive appropriate medication and adhere to post-treatment instructions to alleviate symptoms. Follow-up procedures are essential to monitor potential complications, and in some cases, professional mental health care may be required. Further research is warranted to establish the safety and efficacy of BTX-A injections for the treatment of bruxism and TMJ disorders. This case study presents the development velopharyngeal insufficiency in a patient with chronic bruxism 3 days after receiving a BTX-A injection.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine,Otorhinolaryngology,Surgery

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