MASSETER BOTOKS ENJEKSİYONU SONRASI GELİŞEN PARADOKSAL BULGİNG FENOMENİ; VAKA SERİLERİ VE LİTERATÜR DERLEMESİ

Öz

Amaç: Mandibular eklem olarak da bilinen temporomandibular eklem (TME); dış kulak yolunun önünde mandibulayı temporal kemiğe bağlayan sinoviyal bir eklemdir. TME rahatsızlıkları toplumda sıklıkla görülmekle beraber; çiğneme kaslarından kaynaklanan bozukluklar, TME’de kondil ve disk uyumsuzlukları, inflamatuar eklem hastalıkları, kronik mandibular hipomobilite, konjenital ya da kazanılmış kas ve kemik rahatsızlıkları gibi birçok nedenden kaynaklanabilmektedir. Vaka raporları: Çalışmamızda eklem ağrısı şikayetleri ile Gazi Üniversitesi Diş hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Kliniğine başvuran 4 hastanın teşhis ve tedavi süreci sunulmuştur. Olguların hepsinin bruksizme bağlı masseter hipertrofisinin olduğu tespit edildi. İşlem öncesi hastalardan yazılı olarak alınan aydınlatılmış onam sonrasında, botulinum toksin-A (BTA) uygulaması yapıldı. Uygulamanın sonrası yapılan kontrol muayenelerinde 4 olguda da paradoksal masseterik şişlik tespit edildi. Çalışmamızda sunulan hastaların botokstan etkilenmeyen masseter kaslarının yüzeyel loblarına daha yüzeyel bir botoks enjeksiyonu yapıldı, ortalama on gün içerisinde bütün hastalarda şikayetlerin ortadan kaktığı görüldü. Sonuç: Masseter botoksu sonrası paradoksal şişlik fenomeni nadir görülmekte olup, hekim tarafından doğru konulan teşhis sonrasında kolaylıkla tedavi edilebilmektedir. Bruksizm ve masseter hipertrofisi için botoks uygulamalarını yapan hekimlerinin ortaya çıkabilecek olası komplikasyonlarla ilgili bilgili sahibi olması ve gerekli çözümleri sunabilmesi gerekmektedir.

Anahtar Kelimeler

• Temporomandibular eklem
• botoks
• masseterik şişlik
• paradoksal masseterik şişlik
• bruksizm
• Temporomandibular joint
• botox
• masseteric swelling
• paradoxical masseteric bulging
• bruxism

PARODOXICAL BULGING PHENOMENA AFTER MASSETER BOTOX INJECTIONS; CASE SERIES AND THE REVIEW OF THE LITERATURE

Abstract

Aim: The temporomandibular joint (TMJ), also known as the mandibular joint; is a nearby the synovial joint that connects the mandible to the temporal bone the external auditory canal. Although TMJ disorders are frequently seen; they can be caused by many reasons such as disorders caused by masticatory muscles, condyle and articular disc incompatibility, inflammatory joint diseases, chronic mandibular hypomobility, and congenital or acquired muscle and bone disorders. Case reports: In our study, the diagnosis and treatment process of 4 patients who applied to the Gazi University Faculty of Dentistry Department of Oral and Maxillofacial Surgery clinic with complaints of TMJ pain were presented. All of the cases had masseter hypertrophy due to bruxism. Botulinum toxin-A (BTA) was injected to the masseter muscles bilateraly after written informed consents were obtained from each patients before the procedure. In the control examinations an unexpected paradoxical masseteric bulging was detected. A more superficial BTA injection was applied to the superficial lobe of the masseter muscles that was not affected by BTA in presented patients and the complaints were dissolved in ten days. Conclusions: The cases presented in our article have a rare complication of BTA injections and can be treated easily after a correct diagnosis by the physician. Physicians who perform BTA injections for bruxism and masseter hypertrophy should be aware of the possible complications and should have sufficient knowledge and experience to overcome it.

Keywords

• Temporomandibular joint
• botox
• masseteric swelling
• paradoxical masseteric bulging
• bruxism

Kaynakça

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