Özkan Birkan Taha, Tabrizi Reza, Cigerim Levent
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Yuzuncuyil, Van, Turkey.
J Craniofac Surg. 2012 Jan;23(1):e14-6. doi: 10.1097/SCS.0b013e31824207a2.
Masseter muscle hypertrophy is characterized by unilateral or bilateral enlargement of the masseter muscles affecting both females and males after puberty. Limitations on mouth opening, swollen cheek, and also tension in the region of the hypertrophied muscle are symptoms reported. Also, masseter hypertrophy can cause aesthetic and functional problems. A 40-year old woman was referred to our clinic with the chief complaint of facial appearance with square-face type. To eliminate undesirable facial appearance, surgical intraoral approach compromising reduction of deep masseter muscle with monocortical and bicortical ostectomy of the angle of the mandible was performed. The patient was satisfied with both functional outcomes and aesthetic outcomes on both facial profile and frontal view. No complication was seen intraoperatively and postoperatively after a 12-month follow-up period. This treatment modality would be suggested to gain optimal aesthetic results especially in a square face from the lateral profile.
咬肌肥大的特征是青春期后男女双侧或单侧咬肌增大。报告的症状包括张口受限、脸颊肿胀以及肥大肌肉区域的紧张感。此外，咬肌肥大可导致美学和功能问题。一名40岁女性因方形脸外观的主要诉求被转诊至我们的诊所。为消除不理想的面部外观，采用手术经口入路，通过下颌角单皮质和双皮质截骨术减少深层咬肌。患者对面部轮廓和正视图的功能结果和美学结果均感到满意。经过12个月的随访期，术中及术后均未发现并发症。建议采用这种治疗方式以获得最佳美学效果，尤其是对于从侧面看呈方形脸的患者。
