Benign masticatory muscle hypertrophy.
نویسندگان
چکیده
A 32 year old Indian male presented with progressive painless swelling of both jaws and temporal regions. The patient was otherwise asymptomatic and denied history of bruxism. Clinical examination revealed bilateral non-tender swelling over both mandibles and temporal fossae (Figure 1). Systemic examination and dental examination was normal. magnetic resonance imaging (mrI) of the head revealed a homogenous increase in the bulk of the masticatory muscles – bilateral temporalis and masseter (Figure 2). The option of botulinum toxin injection was offered to the patient. Idiopathic masticatory muscle hypertrophy is a relatively rare disorder which usually manifests in late adolescence or early adulthood.1 Hypertrophy of the masseters was first described by Legg in 1880.2 There are a few theoretical explanations for the etiology of masticatory muscle hypertrophy, but the precise etiology is not clear.1 The most common of these, bruxism is associated with psychosocial stress, anxiety, malocclusion and sleep disorders.3 masseter hypertrophy is known to occur in isolation or with temporalis muscle hypertrophy but temporalis hypertrophy without hypertrophy of masseters is very rare.4 Clinical diagnosis of masseter hypertrophy could be difficult in unilateral cases and differential diagnosis in such patients includes parotiditis, parotid tumor, lipoma, vascular tumors, benign or malignant muscle or mandibular tumors.1 Computed tomogram, magnetic resonance imaging and ultrasonogram can be used to confirm muscle hypertrophy.1 milder cases do not require therapy, or merely reassurance or tranquilizers; however in severe cases or for cosmetic considerations botulinum toxin type A or surgery can be considered.1,5
منابع مشابه
Isolated unilateral temporalis muscle hypertrophy in a child: a case report with literature review
BACKGROUND Temporalis muscle hypertrophy is a rare entity of masticatory muscle hypertrophy. All types of masticatory muscle hypertrophies have been documented of which temporalis muscle hypertrophy is one. Temporalis muscle hypertrophy is most commonly bilateral and usually associated with other types of masticatory muscles hypertrophy such as masseter or pterygoid hypertrophy. However, isolat...
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Idiopathic hypertrophy of the masseter muscle is a rare disorder of unknown cause. Some authors associate it with the habit of chewing gum, temporo-mandibular joint disorder, congenital and functional hypertrophies, and emotional disorders (stress and nervousness). Most patients complain of the cosmetic change caused by facial asymmetry, also called square face, however, symptoms such as trismu...
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Distinctions between craniofacial and axial muscles exist from the onset of development and throughout adulthood. The masticatory muscles are a specialized group of craniofacial muscles that retain embryonic fiber properties in the adult, suggesting that the developmental origin of these muscles may govern a pattern of expression that differs from limb muscles. To determine the extent of these ...
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ورودعنوان ژورنال:
- The Journal of the Association of Physicians of India
دوره 57 شماره
صفحات -
تاریخ انتشار 2009