Combination of Medical and Surgical Treatments for Masseter Hypertrophy

Case Reports in Dentistry
M AyhanC Kasapoglu

Abstract

Masseter hypertrophy (MH) is one of the uncommon conditions that swelling can be seen in the angular mandibular region of the face. The etiology of MH includes several factors, and various treatment methods are mentioned in the literature. Botulinum toxin type A application is most commonly used for the treatment because of its less invasive feature. As a surgical method, some treatment alternatives that aim to reduce muscle mass or reshape the bone tissue in the angular region are considered. In this case report, a 21-year-old male patient with unilateral masseter hypertrophy on the right side is presented. After the patient was diagnosed with MH, botulinum toxin treatment in two sessions at one-month intervals was done. Since the reduction in muscle volume was not in satisfactory dimensions after the botulinum toxin application, the masseter was reduced on the right side through an intraoral approach. At the same time, bone enlargements on each side of the angulus mandibula were reshaped and smoothened through an extraoral retro mandibular approach. Clinical and radiographic evaluation of the patient revealed more aesthetic and symmetrical appearance in the regular controls.

References

Feb 1, 1977·Journal of Maxillofacial Surgery·H L Beckers
Dec 1, 1986·Journal of Maxillofacial Surgery·R Roncević
Jun 15, 1982·British Dental Journal·G D Wood
Dec 1, 1995·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·M Nishida, T Iizuka
Nov 1, 1994·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R R Addante
Feb 1, 1994·The British Journal of Oral & Maxillofacial Surgery·A G Smyth
Jul 9, 2005·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Ricardo José de Holanda VasconcellosRicardo Viana Bessa Nogueira
Jul 9, 2010·The Journal of Craniofacial Surgery·Reza TabriziSamira Zare
Jul 9, 2014·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·A R AndreishchevJ Ferri
Apr 25, 2017·The Journal of Craniofacial Surgery·Guilherme Dos Santos TrentoLeandro Eduardo Klüppel

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Citations

Jun 10, 2021·Surgical and Radiologic Anatomy : SRA·Istemihan CobanYelda Pinar

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Methods Mentioned

BETA
imaging techniques
pharmacotherapy
bilateral resection

Related Concepts

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Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

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Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium clostridium botulinum. Discover the latest research on botulism here.

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