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The Essential Guide for Clinicians Who Prescribe and Inject BoNTs This is a detailed and practical guide to botulinum neurotoxin therapy (BoNT) and the wide range of applications for neurological and pain disorders. A unique reference source for new injectors and experienced clinicians alike, this indispensable manual provides information on dose, dilution, and indications for all four FDA-approved toxins in one handy text. Following a brief review of relevant pharmacology, the book provides product information and comparative distinctions between the four FDA-approved toxins (Botox∆, Myobloc∆, Xeomin∆, and Dysport∆), along with indications and doses for FDA-approved conditions, guidance techniques, and common and emerging clinical applications. The heart of the book is an injection manual, organized anatomically and by condition and covering all applications for medical treatment. For each condition or site, information is provided on typical muscle pattern or muscle groups involved, dosing guidelines and dilution for the applicable toxins, number of injection sites, and potential risks and benefits. Targeting techniques are organized in table format for quick retrieval. Anatomic illustrations and cross-sections are provided to orient injectors and help identify optimal insertion points. An appendix with useful clinical rating scales is also included. Key Features: Presents state-of-the-art information about current indications for all four FDA-approved botulinum neurotoxins Compares and contrasts the four toxins along with common and emerging clinical applications Provides dosing guidelines for various indications and injection sites for each muscle Includes anatomic drawings and cross-sections to illustrate muscle relationships and insertion points Serves as a practical, portable, how-to guide for new and experienced clinicians
Fully updated throughout, the second edition of the Manual of Botulinum Toxin Therapy provides practical guidance on the use of Botox in a wide variety of disorders. New chapters have been added on the use of botulinum toxin in wound healing, in focal hand dystonia and in thoracic outlet syndrome, as well as others. There are new chapters on the use of botulinum toxins in conjunction with ultrasound guidance. Using clear line-drawings the Manual describes the relevant injection sites for each condition and gives comparative dosage tables for the various formulations of toxins used in different muscle groups. Throughout the emphasis is on technique and the book can be used as both a teaching aid and in bedside guidance. The manual will be of use to neurologists, otolaryngologists, urologists, ophthalmologists, dermatologists, internists, pain management specialists, rehabilitation specialists and plastic surgeons, and any other clinicians discovering the potential of botulinum toxin.
Ultrasound-Guided Chemodenervation Procedures provides a comprehensive multimedia approach to neurotoxin therapy using ultrasound. This combined text/atlas offers a complete review of toxin therapy, both current indications and emerging applications, as well as a detailed review of ultrasound technology and ultrasound guidance techniques for botulinum toxin injections and nerve blocks. The work also includes a detailed anatomic and pictorial atlas, which will be invaluable to clinicians performing procedures with or without ultrasound guidance. The text section of the book is a reference manual, covering conditions and indications, chemodenervation agents, and ultrasound basics including essential physics, machine settings, artifacts, scanning techniques, and procedural guidance techniques. The illustrated atlas sections offer a stunning visual roadmap for understanding ultrasound anatomy, localizing muscles, and safely and successfully performing chemodenervation procedures. Features of Ultrasound-Guided Chemodenervation Procedures include: More than 1,300 clinical pictures, anatomical drawings, and ultrasound stills Practical yet comprehensive-an indispensable print and electronic reference for clinicians Review of ultrasound technology, techniques, and clinical applications for chemodenervation Review of clinical indications and emerging uses of botulinum toxin
The injection of cosmetic neurotoxins and fillers is a multi-billion dollar industry in which facial plastic surgeons, plastic surgeons, dermatologists, oculoplastic surgeons, and paraprofessionals in the U.S. perform more than seven million injections annually. Cosmetic Injection Techniques and the videos that accompany it provide all medical professionals in the field (from beginners to experienced injectors) with practical information on how to properly administer neurotoxin and filler injections for conditions such as lower eyelid roll, nasal flare, platysmal banding, marionette lines, glabellar frown lines, and much more. Key Features: Full color, detailed illustrations describe key anatomical landmarks and identify exact injection locations Online access to videos narrated by Dr. Kontis that demonstrate multiple injection techniques A unique rating system for each procedure, enabling injectors to perform techniques appropriate to their skill level Every commonly performed cosmetic injection procedure is covered, giving readers a comprehensive guide on how to safely and effectively perform injections This easy-to-use manual gives facial plastic surgeons, plastic surgeons, dermatologists, oculoplastic surgeons and other medical professionals authoritative, concise information on the anatomy, techniques, precautions, complications, and post-treatment care involved in the administration of injections of cosmetic neurotoxins and fillers.
Configured for quick point-of-care consult, Botulinum Toxin Dosing Manual is the must-have resource for practitioners and trainees at any level. This practical compendium provides comprehensive information on applications and dosing guidelines for all four FDA-approved toxins, and also includes agency-approved indications and ranges for Canada, the UK, and selected EU countries. Detailed botulinum toxin (or neurotoxin) (BoNT) dosage information is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Covering applications for neurological, urological, neurosecretory, and pain conditions with side-by-side product dosing comparisons, the guide allows clinicians to quickly calculate the dosage of a given BoNT product for a particular indication and/or structure and choose the best option for treatment. Anatomical illustrations are provided at the end of the book to enhance the localization of muscles and other target structures during the injection planning process. This handy manual is indispensable for new injectors and experienced clinicians alike, who need to stay current with the ever-expanding indications and dosage recommendations to create effective treatment plans for their patients. Key Features: Up-to-date guidelines and dosage ranges for FDA-approved botulinum toxins and applications for adults and children; includes agency-approved ranges for Canada, the UK, and EU Current information on published dosage ranges from studies for FDA-approved botulinum toxins fit for adults and children for most clinical applications Information organized in user-friendly table format to speed dosage calculation for clinicians treating patients with BoNT Published dosing recommendations for a wide variety of indications by muscle or group, dilution, injection sites, and more Anatomic drawings illustrate muscle relationships and insertion points
A Practical Guide to Botulinum Toxin Procedures is one of four books in the new Cosmetic Procedures for Primary Care series. This series offers guidance to primary care practitioners who wish to expand their practice to minimally invasive cosmetic procedures. Whether the physician is just getting started or well versed in aesthetic medicine, this series can be used as a routine quick reference for current aesthetic procedures that can be readily incorporated into office practice. The series will put these cosmetic treatments into the hands of the physician the patient knows and trusts the most, and will bring primary care practitioners increased autonomy, improved patient satisfaction, and added reimbursement. This book provides thoroughly illustrated step-by-step instructions on botulinum toxin injection procedures and advice on managing common issues seen in follow-up visits. Each chapter focuses on a single procedure and reviews all relevant anatomy, including target muscles and their functions and muscles to be avoided. Injection points and the injection Safety Zones are highlighted to help practitioners perform the procedures more effectively and minimize complication risks. Initial chapters cover treatment in the upper third of the face for frown lines, horizontal forehead lines, and crow's feet—procedures suited for practitioners who are getting started with cosmetic botulinum toxin treatments. Subsequent chapters cover more advanced face and neck procedures and treatment of axillary hyperhidrosis.
Introductory Chapter: Botulinum Toxin Type A Therapy in Dystonia and Spasticity - What are Current Practical Applications?
In a rapidly progressing field, Botulinum Toxin Therapy provides both clinicians and basic researchers with the latest science on the structure and function of botulinum toxins and the use of these toxins to treat a wide variety of diseases. Part 1 of the book reviews the basic science of botulinum toxins including advances in our understanding of the molecular structure and mechanism of action of botulinum toxins. This section also discusses the manufacturing and formulation of botulinum toxins for clinical use and the development of novel therapeutic toxins for the future. Part 2 reviews the use of botulinum toxins in clinical practice. It discusses the clinical pharmacology of botulinum toxin drugs and their use in a wide variety of clinical conditions including headache, spasticity, pain, disorders of the genitourinary and gastrointestinal tract, strabismus, and medical aesthetics.
Practical Guide to Botulinum Toxin Injections is the perfect solution for trainees and novice injectors looking for technical guidance performing chemodenervation procedures using botulinum toxin. This high-yield pocket book provides a visual roadmap for procedural targets with illustrations of each muscle and labeled injection sites and includes dosing recommendations for all clinically-available toxins. The manual walks readers through a brief introduction to toxin use before diving into applications muscle by muscle. Each body region gives a closer look at the individual muscles involved, detailing muscle action, injection localization, recommended dosing and injection sites, and pearls and pitfalls where relevant. Later sections address other clinical applications including cervical dystonia, migraine, blepharospasm, hyperhidrosis, and special clinical syndromes such as writer's cramp. Complete with original illustrations detailing anatomy and suggested injection localization for targeted muscles, this "one-stop-shop" reference will appeal to anyone in physical medicine and rehabilitation, neurology, dermatology, pain management, and other fields seeking to acquire or reinforce skills. Key Features: Over 135 detailed anatomic illustrations with suggested injection points Dosing recommendations for 95 muscles throughout the upper and lower limbs and axial muscle groups Coverage of clinical applications and syndromes to help providers recognize common patterns of muscle involvement
Since publication of the first edition, Spasticity: Diagnosis and Management has been the defining reference and go-to source for physicians, therapists, and other healthcare providers who care for patients with spasticity. For this new updated edition, Dr. Brashear and a diverse team of specialists have come together to integrate new research, clinical trials, measurement tools, therapies, and other recent advances that reflect this evolving field. The book is organized into four sections, each of which covers a broad scope of material. The first is a general overview of spasticity and its effects on movement in patients. Other chapters cover epidemiology and ancillary findings commonly associated with spasticity. Part II details assessment tools and measurements, treatment goals, and how to aim for realistic outcomes. Part III outlines various treatment modalities, including heavily updated chapters on the use of botulinum toxin in the upper and lower extremities, guidance techniques for injections, intrathecal baclofen, neuromodulation, surgery, physical therapy, and more. The last section, which contains several new chapters, discusses evaluation of outcomes and management of patients with stroke, traumatic brain injury, spinal cord injuries, multiple sclerosis, cerebral palsy, and cancer, followed by chapters on spasticity management in long-term care facilities and economic considerations. This book remains the most comprehensive guide to diagnosis and management of spasticity in adults and children, and the revised second edition will continue to serve as an invaluable resource for professionals in any discipline who strive to provide quality care to spasticity patients. Key Features: Revised edition of the premier clinical reference on spasticity Incorporates the latest advances in assessment and treatment Contains six entirely new chapters highlighting key topics including Tardieu scale and other measurement tools, ultrasound guidance for botulinum toxin management, spasticity in special populations, emerging therapies, and economic impact More than 200 figures and 70 tables accompany the updated text