Efficacy of Botulinum Toxin Type A Injection on Masseter Hypertrophy

Authors

  • Saeed Hameed Tutmayi BDS, MSc (OMFS), Candidate of Kurdistan Board of Medical Specialties, Lecturer, Hawler Medical University, Collage of Dentistry, Department of Oral and Maxillofacial Surgery.
  • Othman Abubaker.Omar BDS,FIBMS/Maxillofacial Surgery,Ass Professor , Hawler Medical University ,Collage of Dentistry,Department of Oral and Maxillofacial Surgery

Keywords:

Botulinum Toxin, Hypertrophy, Masseter Hypertrophy, Visual Analogue Scale

Abstract

Background and Objectives: Masseter hypertrophy (MH) is characterized by abnormal
enlargement of the masseter muscle (MM), leading to aesthetic concerns and functional
impairment. This study aimed to evaluate the clinical efficacy and safety of botulinum toxin type
A (BTX-A) injections for the reduction of masseter muscle hypertrophy (MMH).
Methods: A prospective clinical study was carried out in the Maxillofacial Department of
Rizgary Teaching Hospital from February 2018 to August 2019 and 19 patients were included
who were suffering from MH. The condition was clinically diagnosed. With the diluted BTX
A (30IU in ringer lactates injected at five masseter points, 6 iu each points ), Pre-injection and
post-injection performance measurements were performed at 12 weeks on a patient-self-reported
scale using a visual analog scale (VAS).
Results: This study's findings indicate that 12 weeks after the administration of BTX-A, there
was a significant efficacy in reducing MMH, with only one patient exhibiting no change in
muscle hypertrophy post-injection but after injection was reduced and one patient . exhibit
herniation
Conclusion: This study established that the use of BTX-A significantly decreased MMH.
These results suggest that BTX-A can be utilized as a safe and risk-free method with maximum
effectiveness in treating MMH.

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Published

2024-11-06

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