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. 2021 Sep 10;18(18):9552. doi: 10.3390/ijerph18189552

Table 3.

Studies regarding masseter muscle injections.

Author, Year of Publication Study Group Size Wet/Dry Needling
(Injected Substance)
Navigation Method or
Support
System
Needle Penetration Spot(s) Amount of Injected Substance
(per Muscle)
Number of Treatment Sessions
Al-Wayli, 2017 [21] 25 BTX manual palpation; deposition spots located regularly in the lower part of the muscle 3 sites 20 IU 1
Ananthan, 2019 [22] 25 LA
(2% lidocaine)
digital palpation MTPs ns 1
Chaurand, 2020 [23] 22 BTX digital palpation 2 sites 30 IU 1
Chaurand, 2017 [24] 11 BTX manual palpation; one spot near mandibular angle and one near zygomatic arch 2 sites 20 IU 1
Ernberg, 2011 [25] 21 BTX EMG; 15 mm deep 3 sites 50 IU 2
Ghavimi, 2019 [26] 61 BTX manual palpation; deposition spots located regularly along the long axis of the muscle;
10 mm deep
3 sites 50 IU 1
Guarda-Nardini, 2012 [27] 15 BTX manual palpation; 2 cm skin surface over most prominent area of the muscle after clenching minimum 5 sites in reverse pyramid pattern ns 1
Hosgor, 2020 [28] 44 BTX manual palpation 3 sites 150 IU 1
Ivask,2016 [29] 20 BTX manual palpation; most painful spot 5 sites ns 1
Kang, 2018 [30] 24 LA
(1,5 or 5 mg morphine sulfate)
manual palpation; most painful spot 1 site 0.3 mL 1
Kang, 2018 [30] 11 LA
(2% lidocaine)
manual palpation; most painful spot 1 site 0.3 mL 1
Kim, 2016 [30] 21 BTX manual palpation 3 sites 150 IU 1
Meral, 2019 [31] 25 BTX Ns 6 sites 24 IU 1
Nitecka-Buchta, 2019 [32] 29 PRP manual palpation;
5–10 mm deep
3 MTPs near the origin, under zygomatic arch 1.5 mL 1
Nitecka-Buchta, 2018 [9] 18 collagen manual palpation;
10–15 mm deep
MTPs 2 mL 2
Nitecka-Buchta, 2018 [9] 15 LA
(2% lidocaine)
manual palpation;
10–15 mm deep
MTPs 2 mL 2
Ozden, 2018 [33] 20 DDN manual palpation and analogue algometer;
10 mm deep
MTPs - 3
Ozden, 2018 [33] 20 SDN manual palpation and analogue algometer;
5 mm deep
MTPs - 3
Patel, 2017 [34] 20 BTX EMG and monopolar electrode injection needle ns 50 IU 1
Pihut, 2016 [35] 42 BTX manual palpation, area of the greatest cross-section surface of both masseter bellies ns 21 IU 1
Pons, 2018 [36] 6 BTX manual palpation 3 sites 30 IU 1
Sipahi Calis, 2019 [13] 9 BTX EMG ns 30 IU 1
Taskesen, 2020 [37] 15 DDN manual palpation MTPs - 2
Taskesen, 2020 [37] 15 LA
(2% lidocaine)
manual palpation MTPs 0.2 mL 2
Tesch, 2019 [38] 5 DDN manual palpation MTPs - 3
Uemoto, 2013 [39] 7 LA
(2% lidocaine)
digital palpation;
10–20 mm deep
MTPs 0.25 mL 4
Uemoto, 2013 [39] 7 DDN digital palpation MTPs - 4
Villa, 2018 [40] 28 BTX Ns 3 sites 50 IU 1
Yilmaz, 2020 [41] 26 BTX manual palpation MTPs 10 U/MTP 1
Yilmaz, 2020 [41] 27 LA
(3% mepivacaine)
manual palpation MTPs 0.5 mL/MTP 1
Yilmaz, 2020 [41] 29 PRP manual palpation MTPs 0.5 mL/MTP 1
Yurttutan, 2019 [42] 48 BTX manual palpation; deposition spots located regularly across the muscle mass 5 sites 30 IU 1