Morphological characteristics of the posterior neck muscles and anatomical landmarks for botulinum toxin injections

2021 ◽  
Author(s):  
Bilge İpek Torun ◽  
Simel Kendir ◽  
Luis Filgueira ◽  
R. Shane Tubbs ◽  
Aysun Uz
Keyword(s):  
Botulinum Toxin ◽  
Morphological Characteristics ◽  
Neck Muscles ◽  
Anatomical Landmarks ◽  
Posterior Neck ◽  
Botulinum Toxin Injections

scholarly journals Accuracy of Ultrasound-Guided and Non-guided Botulinum Toxin Injection Into Neck Muscles Involved in Cervical Dystonia: A Cadaveric Study

2020 ◽  
Vol 44 (5) ◽  
pp. 370-377
Author(s):  
Yun Dam Ko ◽  
Soo In Yun ◽  
Dahye Ryoo ◽  
Myung Eun Chung ◽  
Jihye Park
Keyword(s):  
Botulinum Toxin ◽  
Neck Muscles ◽  
Injection Technique ◽  
Ultrasound Guided ◽  
Upper Trapezius ◽  
Levator Scapulae ◽  
Group A ◽  
Splenius Capitis ◽  
Group B ◽  
Botulinum Toxin Injections

Objective To compare the accuracy of ultrasound-guided and non-guided botulinum toxin injections into the neck muscles involved in cervical dystonia.Methods Two physicians examined six muscles (sternocleidomastoid, upper trapezius, levator scapulae, splenius capitis, scalenus anterior, and scalenus medius) from six fresh cadavers. Each physician injected ultrasound-guided and non-guided injections to each side of the cadaver’s neck muscles, respectively. Each physician then dissected the other physician’s injected muscle to identify the injection results. For each injection technique, different colored dyes were used. Dissection was performed to identify the results of the injections. The muscles were divided into two groups based on the difficulty of access: sternocleidomastoid and upper trapezius muscles (group A) and the levator scapulae, splenius capitis, scalenus anterior, and scalenus medius muscles (group B).Results The ultrasound-guided and non-guided injection accuracies of the group B muscles were 95.8% and 54.2%, respectively (p<0.001), while the ultrasound-guided and non-guided injection accuracies of the group A muscles were 100% and 79.2%, respectively (p<0.05).Conclusion Ultrasound-guided botulinum toxin injections into inaccessible neck muscles provide a higher degree of accuracy than non-guided injections. It may also be desirable to consider performing ultrasound-guided injections into accessible neck muscles.

1710: Intra-Detrusor Botulinum Toxin Injections for Human Bladder Overactivity Decrease P2X3 but not PGP9.5 or Ache Expressing Suburothelial Innervation

2004 ◽  
Vol 171 (4S) ◽  
pp. 452-452 ◽  
Author(s):  
Apostolos Apostolidis ◽  
Roshni Popat ◽  
Yiangos Yiangou ◽  
Preston A. Baecker ◽  
Anthony Ford ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Human Bladder ◽  
Botulinum Toxin Injections

Dry Needling Can Be An Alternative Treatment for Hemifacial Spasm

2020 ◽  
Vol 6 (2) ◽  
pp. 20-28
Author(s):  
Selly Marisdina ◽  
Henry Sugiharto ◽  
A Pradian
Keyword(s):  
Botulinum Toxin ◽  
Hemifacial Spasm ◽  
Alternative Treatment ◽  
Epidemiological Data ◽  
Clinical Severity ◽  
Decompression Surgery ◽  
Dry Needling ◽  
Significant Difference ◽  
Microvascular Decompression Surgery ◽  
Botulinum Toxin Injections

Back Ground: Hemifacial spasm is one of movement disorder case that commonly found in daily clinical practice. Epidemiological data are very limited, the average prevalence is 11 per 100,000 population, 14.5 per 100,000 in women and 7.4 per 100,000 in men. In Germany, the estimated prevalence is 8000 to 9000 peoples.1 The incidence of women is more than that of men with a ratio of 2:1. Based on Yaltho and Jankovic study in 2011, out of 215 patients, the ratio of men to women was 1:1.8.2 One study in Indonesia also reported that most of the subjects were female (64.7%).3 Treatment with botulinum toxin injections is preferred to microvascular decompression surgery therapy, but this injection is only effective in a few months and quite expensive. This study is the first study to assess the effectiveness of dry needling on clinical improvement of hemifacial spasm compared to standard therapy of botulinum toxin injection.Methods: The study design was quasi experimental. Total of 24 subjects were divided into two groups. The first group underwent dry needling intervention while the other had botulinum injection. Clinical severity before and after treatment in both groups was assessed using Jankovic and HFS7 scores.Results: In dry needling group there were significant differences between Jankovic and HFS7 score at baseline and at week 1, 2, 3 and 4. While in botox group significant differences were also Jankovic and HFS7 score at baseline and at weeks 2 and 4. There were also a significant difference of Jankovic and HFS7 score when we compared dry needling group to botulinum toxin group.Conclusion: Dry needling can be an alternative treatment for hemifacial spasm, although clinical improvements based on Jankovic and HFS7 scores in dry needling group were not as effective as those with botulinum toxin injections.

Perianal Hyperhidrosis Successfully Treated with Botulinum Toxin A

2021 ◽  
pp. 1-4
Author(s):  
Leandra Reguero del Cura ◽  
Marta Drake Monfort ◽  
Adrian De Quintana Sancho ◽  
Marcos Antonio González López
Keyword(s):  
Botulinum Toxin ◽  
Negative Impact ◽  
Botulinum Toxin A ◽  
Psychosocial Burden ◽  
Toxin A ◽  
Rare Form ◽  
Good Safety Profile ◽  
Degree Of Satisfaction ◽  
Botulinum Toxin Injections

Perianal hyperhidrosis (HH) is a rare form of primary focal HH and may become a major problem for the patient with a significant psychosocial burden and negative impact on the quality of life. Botulinum toxin injections are widely used as a second-line treatment option for axillary, palmar, and plantar HH with a good safety profile. Herein, we pre­sent a case of primary perianal HH successfully treated with Botulinum toxin A at a dose higher than that previously reported in literature, with a longer response, a higher degree of satisfaction, and no adverse effects. Moreover, we review the main aspects of the perianal anatomy that are essential to carry out the technique correctly and make dermatologists achieve expertise with the procedure.

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