By Andrew Blitzer, Brian E. Benson, Joel Guss
Praise for this book :
This is an effective source for common otolaryngologists or otolaryngology citizens. Chapters are good prepared with very good and necessary illustrations, photographs, and diagrams and supplemented via movies that may be seen on-line. -- Doody agencies, Inc.
Containing certain injection directions, Botulinum Neurotoxin for Head and Neck Disorders and the linked how-to video clips supply otolaryngologists, neurologists, ache experts, and others an entire consultant to the administration of motor, sensory and autonomic issues of the top and neck quarter with botulinum neurotoxin. It covers remedy tools for stipulations starting from hyperfunctional motor problems (dystonia, tremor, dysphagia), to afferent discomfort issues (temporomandibular joint ailment, migraine, trigeminal neuralgia) to autonomic issues (hypersalivation, Frey's syndrome). In all of the symptoms, the written fabric experiences the consequences of the toxin at the frightened approach, valuable soreness thresholds, and imperative motor pathways.
- Reviews the pharmacology, symptoms, mechanisms of motion, and method for every use of botulinum neurotoxin
- Provides special info at the anatomy, therapy equipment, follow-up care, and attainable problems for every affliction
- Includes on-line entry to professionally produced video clips during which Dr. Blitzer demonstrates injection concepts for the issues within the ebook
- Contains shiny, complete colour illustrations and pictures that make clear details within the text
Focusing particularly on injection recommendations for the healing makes use of of botulinum neurotoxin for treating head and neck problems, this handbook fills an incredible hole within the literature. It provides clinicians present, authoritative, and in-depth info on administering botulinum neurotoxin such a lot successfully for the pinnacle and neck issues in their patients.
Dr. Blitzer commemorated in most sensible medical professionals 2012 factor of big apple Magazine
Read Online or Download Botulinum Neurotoxin for Head and Neck Disorders PDF
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Additional info for Botulinum Neurotoxin for Head and Neck Disorders
Blepharospasm-oromandibular dystonia syndrome (Meige’s syndrome): clinical aspects. Adv Neurol 1988;49:73–84 2. Dresel C, Haslinger B, Castrop F, Wohlschlaeger AM, Ceballos-Baumann AO. Silent event-related fMRI reveals deficient motor and enhanced somatosensory activation in orofacial dystonia. Brain 2006;129(Pt 1): 36–46 3. Tolosa ES. Clinical features of Meige’s disease (idiopathic orofacial dystonia): a report of 17 cases. Arch Neurol 1981;38:147– 151 4. Markaki E, Kefalopoulou Z, Georgiopoulos M, Paschali A, Constantoyannis C.
The anterior belly originates from the digastric fossa on the anterior internal mandible, and the posterior belly originates on the mastoid process of the temporal bone. The muscles open the jaw when the temporalis and masseter are relaxed. The genioglossus, geniohyoid, mylohyoid, and hyoglossus have lesser effects on jaw opening, but all assist in tongue movement and deglutition. Treatment of these muscles can be very challenging due to the high risk of dysphagia and dysarthria (over 10%) due to overinjection, diffusion, or inaccurate needle placement.
The muscle belly and temporal line are palpated while the patient clenches his or her teeth. The needle is placed through the skin overlying the temporalis muscle and position is confirmed with the brisk EMG activity that occurs with the patient’s teeth clenching. To enhance the accuracy of the injection into the thin temporalis muscle, the needle is usually inserted along the anterior or superior border of the temporalis muscle, and subsequently advanced posteriorly or inferiorly in the sagittal plane, once the correct depth of the needle placement is confirmed with the EMG (Fig.
Botulinum Neurotoxin for Head and Neck Disorders by Andrew Blitzer, Brian E. Benson, Joel Guss