The aim of this study was to compare between the conventional palpation method of botulinum toxin type A injection and the electromyography-guided method using clinical parameters and electromyography analysis.
The study was conducted on 15 healthy-looking female subjects with visible glabellar rhytids when frowning. All participants were recruited from the outpatient clinic of Dermatology Department, Main University Hospital, Faculty of Medicine, Alexandria University. The mean age was 46.27 ± 6.31 with a range from 33 to 59 years. All 15 subjects completed the study. Each subject provided a right and left corrugator supercilii muscles to the study. Each muscle was divided into a body and a tail, each part injected separately (n=60). Neurotoxin injection into the corrugator body and tail by palpation method on one side and under EMG-guidance on the other. Photographs were taken both at rest, and while frowning at each visit: pre-operatively, after 2 weeks and after 3 months. Clinical grading according to static and dynamic Merz glabellar frown line scales and EMG analysis was done at each visit: pre-operatively, after 2 weeks and after 3 months.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
15
EMG-guided needle neurotoxin injection
Botulinum toxin type A injection into the Corrugator Supercilii muscle
Faculty of medicine
Alexandria, Egypt
Interferance pattern Envelop amplitude (IPEA)
difference between + and - spikes in the EMG waveform \[microvolt\]
Time frame: 3 months
Muscle activity percentage (MAp)
percentage difference between the IPEA at follow up and base line \[%\]
Time frame: 3 months
Glabellar Merz scales
Glabellar Merz scales : Dunamic and static \[0-4\]
Time frame: 3 months
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