Self-mutilation of the lower lip in a child with dystonia secondary to megalencephalic leukoencephalopathy treated with botox injections: a case report.
J Oral Maxillofac Surg
; 72(7): 1327.e1-4, 2014 Jul.
Article
en En
| MEDLINE
| ID: mdl-24679955
ABSTRACT
PURPOSE:
We report the case of a 10-year old boy who had been diagnosed with megalencephalic leukoencephalopathy several years earlier. Because of the patient's oral dystonic activity, a traumatic, nonhealing, chronic ulcer had developed on his lower lip. MATERIALS ANDMETHODS:
Botox-A was injected into the mentalis, orbicularis oris, and bilateral masseter muscles.RESULTS:
The patient showed decreased dystonia and gradual complete healing of the traumatic ulcer of the lower lip.CONCLUSIONS:
The treatment of patients with self-mutilation to the lips will often be difficult. Traditionally, patients have been treated with various medications, oral appliances, and even tooth extraction. The results of the present case report suggest that Botox should be considered as a possible first-line strategy, along with oral appliances.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Automutilación
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Toxinas Botulínicas Tipo A
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Distonía
/
Leucoencefalopatías
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Megalencefalia
/
Labio
Tipo de estudio:
Etiology_studies
Límite:
Child
/
Humans
/
Male
Idioma:
En
Año:
2014
Tipo del documento:
Article