New Management in Bilateral Masseter Muscle Hypertrophy. Issue 4 (December 2017)

• Record Type: Journal Article
• Authors: Bocchialini, Gabriele; Castellani, Andrea; Negrini, Stefano; Rossi, Alessandro
• Is Part Of: Craniomaxillofacial trauma & reconstruction. Volume 10:Issue 4(2017)
• Page Start: 325
• Page End: 328
• Publication Date: 2017-12
• Subjects: masseter hypertrophy -- buccal fat pad -- surgical guide; Face -- Wounds and injuries -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Wounds and injuries -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery; Face -- Wounds and injuries; Maxilla -- Surgery; Maxilla -- Wounds and injuries; Maxillofacial Injuries -- Periodicals; Craniocerebral Trauma -- Periodicals; Reconstructive Surgical Procedures -- methods -- Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 617.522
• DOI: 10.1055/s-0036-1592089
• Languages: English
• ISSNs: 1943-3875

Abstract

Bilateral masseter muscle hypertrophy is an alteration in shape and thickness of the masseter muscles that can modify the width of the lower face causing aesthetic and functional problems. A 21-year-old man was referred to the Department of Maxillofacial Surgery at the Civil Hospital in Brescia by his dentist for an evaluation of his facial appearance with a square-face type. To reduce the undesirable facial appearance, a surgical intraoral approach was performed; the procedure includes the bilateral dissection of the masseter muscle, partial lipectomy, and the ostectomy of the mandibular angle assisted by a surgical guide built on a stereolithographic model. The patient was satisfied with the functional and aesthetic outcomes of both the profile and the frontal views. There was no evidence of complication at a 1-year follow-up. This new method yields optimal aesthetic results with an enhanced outline of the lower face.