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Pain Management 2018
Internal Medicine 2018 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 26
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T o describe the treatment by botulinum toxin type A
(BoNTA) for seven painful pathologies of head and neck:
cervical neuralgia, trigeminal neuralgia, migraine headache,
articular pain, hypertrophic scars pain and inflammation, post-
operative muscular pain of the cervical spine and muscle pain
due to stiffness of the cervical spine following hypertonia
and hyperactivity of the manducatory muscles. BoNTA has
been used for forty years by its action on muscles. During the
last decade new indications have been added, following the
proof of the effect of the BT on numerous neurotransmitters.
Technically, we inject into the muscles to relax them, into the
keloid scars or immediately around to stop the inflammation,
to relieve pain, we simply follow it, by topping of the skin, the
scalp or the oral mucosa, depending on the pathology and the
painful zone. For the temporo-mandibular joint, the injection
is directly placed in the articulation. The toxin is very efficient
on paroxysmal pain and for all these indications, we note a
real decrease of the VAS (Visual Analogue Scale) score. For
some indications, the dosage can be high, but there are no side
effects or very limited. Except migraine headache, the other
indications are new and there are not so many teams doing it.
Biography
Dominique Batifol has completed her PhD and Profersor University Hospital
of Montpellier, France. She is currently working in the Maxillo-Facial Surgery
Department in the University Hospital of Montpellier. She has published 15
papers in reputed journals, has written a book in french “injections in tem-
poro-mandibular disorders’’ (EUE) and has presented 2 books in the english
language.
Head and neck: interest of botulinum toxin against pain and
inflammation
Dominique Batifol
University Hospital Gui de Chauliac, France
Dominique Batifol, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-002