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Combination of Medical and Surgical Treatments for Masseter Hypertrophy

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...

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Autores principales: Ayhan, M., İşler, Sabri Cemil, Kasapoglu, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907395/
https://www.ncbi.nlm.nih.gov/pubmed/29850280
http://dx.doi.org/10.1155/2018/7168472
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author Ayhan, M.
İşler, Sabri Cemil
Kasapoglu, C.
author_facet Ayhan, M.
İşler, Sabri Cemil
Kasapoglu, C.
author_sort Ayhan, M.
collection PubMed
description 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.
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spelling pubmed-59073952018-05-30 Combination of Medical and Surgical Treatments for Masseter Hypertrophy Ayhan, M. İşler, Sabri Cemil Kasapoglu, C. Case Rep Dent Case Report 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. Hindawi 2018-04-05 /pmc/articles/PMC5907395/ /pubmed/29850280 http://dx.doi.org/10.1155/2018/7168472 Text en Copyright © 2018 M. Ayhan et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ayhan, M.
İşler, Sabri Cemil
Kasapoglu, C.
Combination of Medical and Surgical Treatments for Masseter Hypertrophy
title Combination of Medical and Surgical Treatments for Masseter Hypertrophy
title_full Combination of Medical and Surgical Treatments for Masseter Hypertrophy
title_fullStr Combination of Medical and Surgical Treatments for Masseter Hypertrophy
title_full_unstemmed Combination of Medical and Surgical Treatments for Masseter Hypertrophy
title_short Combination of Medical and Surgical Treatments for Masseter Hypertrophy
title_sort combination of medical and surgical treatments for masseter hypertrophy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907395/
https://www.ncbi.nlm.nih.gov/pubmed/29850280
http://dx.doi.org/10.1155/2018/7168472
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