Paradoxical masseteric bulging after botulinum neurotoxin type A injection.

BMJ case reports 2024 Vol.17(5)

Sandhu S, Shaefer J

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Abstract

Paradoxical masseteric bulging refers to an unexpected occurrence of masseter muscle bulging or protrusion following the administration of botulinum toxin injections, contrary to the anticipated muscle weakening effect. It may occur secondary to toxin failing to diffuse through the entire masseter muscle due to the presence of an inferior tendon structure within the superficial masseter that divides it into a superficial and deep belly. We report a clinical case of paradoxical masseteric bulging in a female in her late 40s who developed this adverse effect within a week of her masseter botulinum neurotoxin type A injections. We also describe the masseter two-site injection technique for the management of this complication.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 1
해부 masseter muscle scispacy 1
해부 muscle scispacy 1
해부 tendon scispacy 1
해부 superficial masseter scispacy 1
해부 masseter botulinum scispacy 1
해부 masseter scispacy 1
합병증 masseteric scispacy 1
질환 masseter muscle bulging or protrusion scispacy 1
질환 masseter muscle scispacy 1
기타 botulinum neurotoxin type A scispacy 1
기타 female scispacy 1

MeSH Terms

Humans; Female; Botulinum Toxins, Type A; Masseter Muscle; Neuromuscular Agents; Injections, Intramuscular; Middle Aged; Adult

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