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. 2016 Jan 13;8(1):22. doi: 10.3390/toxins8010022

Table 1.

Previous studies with OnaA and AboA for treatment of focal post-surgical radiation pain in cancer patients.

Author/Year Total Patient (n) Type of Study Type of Cancer/Treatment Type of Pain Type of Toxin Site of Injection Total Toxin Dose (Unit) Pain Scale Outcome
Van Daele et al. 2002 [11] 6 Case series Head and neck/radiation Intermittent, tightness, Painful spasms Toxin A (not specified) Sternocleidomastoid muscle 40 No pain rating scale used 4 patients demonstrated complete pain relief
Wittekindt et al. 2006 [9] 23 Prospective Head and neck/surgery Spontaneous, continuous, burning, shooting, allodynia AboA Targeted areas of pain in the neck 80–240 Global quality of life scale, scale pain Pain relief: 13 patients (56.5%)
Pain unchanged: 6 patients (26%)
Pain increased 4 patients (17.4%)
Hartl et al. 2008 [12] 19 Non-randomized prospective Head and neck/radiation Spontaneous, cramps, trismus AboA and OnaA masseter 250 (abo),
50 (ona)
Trismus-pain questionnaire All showed significant improvement of overall functional score, muscle cramps and pain
Mittal et al. 2012 [13] 7 Retrospective Lung, breast, head and neck Neuropathic, myofascial OnaA Affected areas of pain (neck, breast, thorax) 20–80 VAS, PGIC scale, quality of life scale Pain improved in all patients
Bach et al. 2012 [4] 9 Retrospective Head and neck/radiation and surgery Contracture AboA Sternocleidomastoid 100–800 Functional disability scales for neck pain pain and neck motion improvement (7 patients), pain relief but no neck motion improvement (1 patient), No improvement (1 patient)
Dessy et al. 2014 [14] 1 Case report Breast/surgery Numbness, pins, burning OnaA Pectoralis major 50 Tinel’s sign and pain relief reported by patient Complete pain relief, able to lift and rotate the arms, return to a normal personal and professional life

AboA = Abobotulinum toxin A, OnaA = Onabotulinum toxin A.