Masseter Facial Myofascial Pain – Botulinum Treatment

Treatment of Masseter Mysofascial pain with botulinum was successful in 64% of cases.

A Review of Treatment Outcomes for Patients Receiving Intra-masseteric Botulinum Toxin-A for the Management of Facial Myofascial Pain
Reem Ali et al
British Journal of Oral and Maxillofacial Surgery December 2017; 55(10), Page e146

  • 59 cases
  • botulium dose not specified but going to be maybe ?50 units
  • 38  = 64%cases were better

Comment –  With injecting face, suggested stay below jaw line:

Important spot includes the deep masseter which is close to vertical jaw and felt with finger in mouth. – you feel it as a band immediately in front of jaw bone

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