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Injection frequency should be guided by the underlying disease process, the response to past injections, the availability of other treatment options, patient preferences, and clinical judgment.

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Statistical improvement was noted in all measures of objective (mouth opening, tongue protrusion, and relief from fibrotic bands) and subjective (intolerance to spices, burning sensation of mouth, tinnitus, difficulty in swallowing, and difficulty in speech) symptoms over a 7-month period.

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Triamcinolone acetonide is also used as intra lesional steroid injection to treat keloids and hypertrophic scars.

Initially, her liver tests were normal, but with corticosteroid therapy, ALT and AST were mildly elevated (Table).

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Administration of a local anesthetic concurrently with intra-articular or soft tissue injection of a corticosteroid may reduce the pain of injection and provide immediate relief of symptoms.

Risks involved outweigh potential benefits.

Chronic macular oedema sometimes does not respond to classic treatment such as laserphotocoagulation, periocular and systemic steroids or carbonic anhydrase inhibitors.

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Careful attention must be given when patients previously treated for prolonged periods with systemic corticosteroids are transferred to topical corticosteroids, with careful monitoring for acute adrenal insufficiency in response to stress.

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FP involves the use of an infrared laser (1450nm or 1540nm) to create microcolumns of thermal injury surrounded by uninjured tissue.

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