The Value of Augmenting Arthroscopic Lysis and Lavage with Botox injection in Treatment of Internal Derangement | ||
| Ain Shams Dental Journal | ||
| Volume 37, Issue 1, March 2025, Pages 164-170 PDF (567.15 K) | ||
| Document Type: Original articles | ||
| DOI: 10.21608/asdj.2025.352484.1786 | ||
| Authors | ||
| diaa elsaied* 1; khaled barakat2; abdullah hammuda3 | ||
| 1oral and maxillofacial surgery departement - faculty of dentistry - minia university | ||
| 2oral & maxillofacial surgery departement- Minia University | ||
| 3oral & maxillofacial surgery departement- suez University | ||
| Abstract | ||
| Aim: To assess the effects of injecting the superior head of lateral pterygoid muscle (SHLP) during office based arthroscopic lysis and lavage (ALL) for treatment of internal derangement (ID). Materials and Methods: The study was conducted on twelve patients, randomly divided into two groups. Control group A underwent ALL for the superior joint space whereas, experimental group B underwent the same ALL procedure in addition to office based immediate arthroscopic guided injection (AGI) of Botox -A (BTX-A) to the SHLP. Maximum painless Mouth opening (MO) and pain scores using visual analogue score (VAS) were assessed as clinical parameters preoperatively, two weeks, one and six months postoperatively. Results: Both groups showed significant improvement in MO and pain scores at two weeks, one and six months postoperatively. Group B showed superior significant results over control group regarding both MO and pain scores at all postoperative assessments. Conclusion: Simultaneous office based ALL and AGI of BTX-A to SHLP enhances the clinical outcome of ID treatment. | ||
| Keywords | ||
| tempormanibular; management; Arthroscopy | ||
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