Ribeiro Igor Lerner Hora, Costa Marcelo Victor Omena Caldas, da Silva Santos Ingrid Madiany, de Andrade Clarisse Samara, da Hora Sales Pedro Henrique
Oral and Maxillofacial Surgeon, Santa Casa de Misericórdia Hospital of São Miguel dos Campos, Dr. José Inácio Street, 43, São Miguel dos Campos, Alagoas Brazil.
Oral and Maxillofacial Surgeon, Daniel Houly Hospital, Arapiraca, Alagoas Brazil.
J Maxillofac Oral Surg. 2022 Jun;21(2):515-520. doi: 10.1007/s12663-022-01707-4. Epub 2022 Mar 28.
Masseter hypertrophy is an uncommon condition, characterized by an increase in the volume of the masseter region, with the patient presenting functional and aesthetic complaints. Several therapeutic modalities have been suggested for this condition, however, a surgical approach usually presents consistent results in more complex cases. The objective of this article is to report a clinical case of masseter hypertrophy associated with class IV of Kin, treated through partial removal of the masseter muscle, bichectomy and genioplasty. Surgery was performed under general anesthesia in a hospital setting. The planning was previously carried out through prototyped models and radiographs to remove the excess bone shown in the mandibular angle region. Surgical treatment of masseter hypertrophy is effective and long-lasting in severe cases. Additional surgical procedures must be performed in order to provide the best possible result according to the facial deformity found.
咬肌肥大是一种罕见的病症，其特征为咬肌区域体积增大，患者会出现功能和美观方面的问题。针对这种病症已提出了多种治疗方式，然而，在更为复杂的病例中，手术方法通常能产生稳定的效果。本文的目的是报告一例与金氏IV类错牙合相关的咬肌肥大临床病例，通过部分咬肌切除术、颊脂垫切除术和颏成形术进行治疗。手术在医院环境下全身麻醉下进行。术前通过原型模型和X光片进行规划，以去除下颌角区域显示的多余骨质。咬肌肥大的手术治疗在严重病例中是有效且持久的。必须根据所发现的面部畸形进行额外的手术操作，以提供尽可能好的效果。
