DOI QR코드

DOI QR Code

Botulinum toxin-A injection into the anterior belly of the digastric muscle for the prevention of post-operative open bite in class II malocclusions: a case report and literature review

  • Kang, Yei-Jin (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Cha, Bong Kuen (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Choi, Dong Soon (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Jang, In San (Department of Orthodontics, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Seong-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • Received : 2019.01.22
  • Accepted : 2019.03.21
  • Published : 2019.12.31

Abstract

Background: Class II malocclusion patients with hyperdivergent facial types are characterized by short mandibular body lengths and anterior open bite. Accordingly, the treatment for hyperdivergent skeletal class II malocclusion is a lengthening of the mandibular body length and a counterclockwise rotation of the mandible. To prevent post-operative relapse, botulinum toxin-A (BTX-A) injection can be a retention modality. Case presentation: A class II open-bite patient received BTX-A injection to the anterior belly of her digastric muscle for the prevention of post-operative relapse. The relapse was evaluated via a clinical examination and a lateral cephalometric radiograph after the completion of post-surgical orthodontic treatment. The patient showed stable occlusion without any signs of relapse at 15 months post-operatively. Conclusion: In this case presentation, a single injection into the anterior belly of the digastric muscle was sufficient for the prevention of post-operative open bite.

Keywords

References

  1. Craig CE (1951) The skeletal patterns characteristic of class I and class II, division I malocclusions in norma lateralis. The Angle Orthodontist 21(1):44-56
  2. Proffit WR, Bailey LTJ, Phillips C, Turvey TA (2000) Long-term stability of surgical open bite correction by Le fort I osteotomy. The Angle Orthodontist 70(2):112-117
  3. Carlson DS, Ellis E, Dechow PC, Nemeth PA (1989) Short-term stability and muscle adaptation after mandibular advancement surgery with and without suprahyoid myotomy in juvenile Macaca mulatta. Oral surgery, oral medicine, oral pathology 68(2):135-149 https://doi.org/10.1016/0030-4220(89)90181-3
  4. Sato FRL, Asprino L, Moreira RWF, de Moraes M (2014) Comparison of postoperative stability of three rigid internal fixation techniques after sagittal split ramus osteotomy for mandibular advancement. J Cranio-Maxillofac Surg 42(5):e224-e229
  5. Chuong C-J, Borotikar B, Schwartz-Dabney C, Sinn DP (2005) Mechanical characteristics of the mandible after bilateral sagittal split ramus osteotomy: comparing 2 different fixation techniques. J Oral Maxillofac Surg 63(1):68-76 https://doi.org/10.1016/j.joms.2003.12.045
  6. Brasileiro BF, Grempel RG, Ambrosano GMB, Passeri LA (2009) An in vitro evaluation of rigid internal fixation techniques for sagittal split ramus osteotomies: advancement surgery. J Oral Maxillofac Surg 67(4):809-817 https://doi.org/10.1016/j.joms.2008.11.009
  7. Papageorge MB, Doku HC (1987) Postoperative infection following suprahyoid myotomy performed in conjunction with sagittal osteotomy of the mandible: report of a case. J Oral Maxillofac Surg 45(5):460-462 https://doi.org/10.1016/0278-2391(87)90019-X
  8. Marchese-Ragona R, Marioni G, Restivo DA, Staffieri A (2006) The role of botulinum toxin in postparotidectomy fistula treatment. A technical note. Am J Otolaryngol 27(3):221-224 https://doi.org/10.1016/j.amjoto.2005.09.009
  9. Mahant N, Clouston P, Lorentz I (2000) The current use of botulinum toxin. J Clin Neurosci 7(5):389-394 https://doi.org/10.1054/jocn.2000.0684
  10. Song P, Schwartz J, Blitzer A (2007) The emerging role of botulinum toxin in the treatment of temporomandibular disorders. Oral Dis 13(3):253-260 https://doi.org/10.1111/j.1601-0825.2007.01352.x
  11. Seok H, Park Y-T, Kim S-G, Park Y-W (2013) Correction of post-traumatic anterior open bite by injection of botulinum toxin type a into the anterior belly of the digastric muscle: case report. J Korean Assoc Oral Maxillofac Surg 39(4):188-192 https://doi.org/10.5125/jkaoms.2013.39.4.188
  12. Park S-Y, Park Y-W, Ji Y-J, Park S-W, Kim S-G (2015) Effects of a botulinum toxin type a injection on the masseter muscle: an animal model study. Maxillofacial plastic and reconstructive surgery 37(1):10 https://doi.org/10.1186/s40902-015-0010-8
  13. Moore A, Wood G (1994) The medical management of masseteric hypertrophy with botulinum toxin type a. Br J Oral Maxillofac Surg 32(1):26-28 https://doi.org/10.1016/0266-4356(94)90168-6
  14. Tabrizi R, Nili M, Aliabadi E, Pourdanesh F (2017) Skeletal stability following mandibular advancement: is it influenced by the magnitude of advancement or changes of the mandibular plane angle? J Korean Assoc Oral Maxillofac Surg 43(3):152-159 https://doi.org/10.5125/jkaoms.2017.43.3.152
  15. Denison TF, Kokich VG, Shapiro PA (1989) Stability of maxillary surgery in open bite versus non-open bite malocclusions. The Angle Orthodontist 59(1):5-10
  16. Fischer K, von Konow L, Brattstrom V (2000) Open bite: stability after bimaxillary surgery-2-year treatment outcomes in 58 patients. The European Journal of Orthodontics 22(6):711-718 https://doi.org/10.1093/ejo/22.6.711
  17. Burden D, Johnston C, Kennedy D, Harradine N, Stevenson M (2007) A cephalometric study of class II malocclusions treated with mandibular surgery. Am J Orthod Dentofac Orthop 131(1):7. e1-7. e8 https://doi.org/10.1016/j.ajodo.2006.05.027
  18. Ito G, Koh M, Fujita T, Shirakura M, Ueda H, Tanne K (2014) Factors related to stability following the surgical correction of skeletal open bite. Australian orthodontic journal 30(1):61
  19. Schwartz K, Rodrigo-Domingo M, Jensen T (2016) Skeletal stability after large mandibular advancement (> 10 mm) with bilateral sagittal split osteotomy and skeletal elastic intermaxillary fixation. Journal of oral & maxillofacial research 7(2):e5
  20. Jaspers GWC, Pijpe J, Jansma J (2011) The use of botulinum toxin type a in cosmetic facial procedures. Int J Oral Maxillofac Surg 40:127-133 https://doi.org/10.1016/j.ijom.2010.09.014
  21. Ferre JC, Barbin JY, Helary JL, Lumineau JP (1984) The mandible, an overhanging mechanically suspended structure. Considerations on the system of attachment and servo-command of the mandible. Clin Anat 6(1):3-10
  22. Yousefzadeh F, Shcherbatyy V, King GJ, Huang GJ, Liu ZJ (2010) Cephalometric and electromyographic study of patients of east African ethnicity with and without anterior open bite. Am J Orthod Dentofac Orthop 137(2):236-246 https://doi.org/10.1016/j.ajodo.2008.03.033
  23. Sesenna E, Raffaini M (1985) Bilateral condylar atrophy after combined osteotomy for correction of mandibular retrusion. A case report. J Oral Maxillofac Surg 13(6):263-266
  24. Karacay S, Gokce S, Yildirim E (2012) Evaluation of hyoid bone movements in subjects with open bite: a study with real-time balanced turbo field echo cine-magnetic resonance imaging. Korean Journal of Orthodontics 42(6):318-328 https://doi.org/10.4041/kjod.2012.42.6.318
  25. Ayoub AF, Trotman CA, Stirrups DR, Wilmot JJ (1997) Stability of bimaxillary osteotomy following surgical correction of class II skeletal deformities: a two-Centre study. Br J Oral Maxillofac Surg 35(2):107-115 https://doi.org/10.1016/S0266-4356(97)90685-9
  26. Ellis E 3rd, Carlson DS (1983) Stability two years after mandibular advancement with and without suprahyoid myotomy: an experimental study. J Oral Maxillofac Surg 41(7):426-437 https://doi.org/10.1016/0278-2391(83)90127-1
  27. Schendel SA, Epker BN (1980) Results after mandibular advancement surgery: an analysis of 87 cases. J Oral Surg 38(4):265-282
  28. Choi S-S, Rotaru H, Kim S-G (2007) Treatment of post-traumatic open bite by radiofrequency. Br J Oral Maxillofac Surg 45(4):311-313 https://doi.org/10.1016/j.bjoms.2005.11.018
  29. Cohen JL, Scuderi N (2017) Safety and patient satisfaction of abobotulinumtoxinA for aesthetic use: a systematic review. Aesthet Surg J 37(S1):S32-S44 https://doi.org/10.1093/asj/sjx010