Does injection of botulinum toxin to salivary glands require ultrasound guidance?

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-17 DOI:10.1016/j.ijporl.2024.112114

I.H. Marks , J. Ridgley Vaidya , O. Israel , P. Nixon , R. Sharma

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引用次数: 0

Abstract

Introduction

Injection of botulinum toxin into salivary glands is a well-established treatment for sialorrhea in children, but the absolute need for radiological guidance has not been tested.

Methods

Single-centre study in which clinicians of varying seniority attempted blind injection of salivary glands, after which their position within or outside the gland was confirmed by ultrasound guidance before the injection is administered.

Results

117 patients underwent botulinum toxin of salivary glands between November 2008 and August 2023, with 459 glands injected in total. 24 (5 %) glands were injected by medical students, 32 (7 %) by junior trainees (foundation doctors or senior house officers), 343 (75 %) by registrars or senior fellows and 36 (8 %) by consultants. 160 (68 %) of injections to the parotid gland were on target, and 74 (32 %) submandibular gland were on target (P < 0.01). No differences were detected on likelihood of success depending on seniority of practitioner, age of patient or hand dominance.

Conclusion

Ultrasound guidance ought to be recommended for injection of botulinum toxin into salivary glands regardless of the seniority of the practitioner.

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唾液腺肉毒素注射是否需要超声引导？

方法在单中心研究中，不同资历的临床医生尝试对唾液腺进行盲注，之后在注射前通过超声引导确认其在腺体内或外的位置。结果2008年11月至2023年8月期间，117名患者接受了唾液腺肉毒素注射，共注射了459个腺体。其中 24 个（5%）腺体由医学生注射，32 个（7%）由初级受训人员（基础医生或高级住院医师）注射，343 个（75%）由注册医师或高级研究员注射，36 个（8%）由顾问注射。腮腺注射中有 160 次（68%）达到目标，颌下腺注射中有 74 次（32%）达到目标（P < 0.01）。结论：在唾液腺注射肉毒杆菌毒素时，无论医生的资历如何，都应推荐使用超声波引导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.