title: Botulinum toxin used to treat recurrent dislocation of the temporomandibular joint in a patient with osteoporosis.
abstract: Recurrent dislocations of the temporomandibular joint (TMJ) can be debilitating. We describe a patient with osteoporosis who presented to our regional centre where we have limited resources. We injected botulinum toxin into both of her lateral pterygoid muscles, and six months later she has not required further injections and has had no issues with tolerance of the procedure. Botulinum toxin is a safe, conservative approach to recurrent dislocations of the TMJ and can be given accurately by an experienced surgeon without the use of an electromyogram.
authors.affiliation: 100 Angus Smith Drive, Douglas, QLD, 4814, Australia. Electronic address: oztel.m@gmail.com.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Oztel
authors.affiliation: Consultant Oral and Maxillofacial surgeon at Lismore Base Hospital, 21 Dalley St, East Lismore NSW 2480, Australia.
authors.forename: Wojciech M
authors.initials: WM
authors.lastname: Bilski
authors.affiliation: Consultant Oral and Maxillofacial surgeon at Lismore Base Hospital, 21 Dalley St, East Lismore NSW 2480, Australia.
authors.forename: Arthur
authors.initials: A
authors.lastname: Bilski
mesh_terms: D000369:Aged, 80 and over; D001905:Botulinum Toxins / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000188:drug therapy* / Q000209:etiology; D010024:Osteoporosis / Q000150:complications* / Q000188:drug therapy; D012008:Recurrence; D013704:Temporomandibular Joint; D013705:Temporomandibular Joint Disorders / Q000188:drug therapy*
chemical_list: D001905:Botulinum Toxins
keywords: Botulinum toxin; Temporomandibular joint dislocation