BACKGROUND Masseteric muscle hypertrophy is an uncommon dition represented as a swelling of the masseter muscle. Recent reports have demonstrated the successful use of botulinum in the treatment of masseteric hypertrophy. OBJECTIVE This study was a prospective trial to evaluate the effectiveness of botulinum toxin type A (Botox) in the treatment of masseteric muscle hypertrophy according to d...

BACKGROUND A paucity of reports exist on the use of botulinum toxin type A injections as an alternative noninvasive treatment for masseteric hypertrophy. OBJECTIVE To evaluate the effects of botulinum toxin type A on masseteric hypertrophy using computed tomography. METHODS Percutaneous intramuscular injections of botulinum toxin type A of 30 U per side was carried out in 11 subjects with m...

permanent facial paralysis is a catastrophic event for involved patients. in long lasting paralysis with severe facial muscles atrophy, masseter muscle transfer is a very good choice. but its greatest problem is postoperative elongation of flap and gradual diminishing of early results and loss of symmetry. this article advocate a new modification for resolving this problem with concomitant elev...

IMPORTANCE Free muscle transfer innervated by a cross-facial nerve graft represents the criterion standard for smile reconstruction in facial paralysis. If primary reconstruction fails, a second muscle transfer is usually needed. Herein, we investigated the possibility of avoiding a second free muscle transfer by in situ coaptation of the gracilis muscle to the masseteric nerve. OBSERVATIONS ...

The purpose of this study was to examine if there is a human jaw-tongue reflex. This study was carried out in seven healthy adult males and recorded the genioglossus muscle activity during various functions by using a miniature intraoral surface electrode, which is comparable with intramuscular fine-wire electrodes, but without pain or disturbance of the tongue movement. The ipsilateral massete...

AIMS To investigate 3 cases of chronic parotitis secondary to an acute bend in Stensen's duct caused by an enlargement of the masseteric space. RESULTS Three female patients presented with symptoms consistent with obstructive parotitis including glandular swelling and tenderness during meals. A 10-year-old patient had unilateral facial swelling with enlargement of the masseter muscle and mand...

The myotonic response of the masseter muscles following various doses of suxamethonium was measured using a unique myotonometer in 50 apparently healthy patients, the majority of whom showed a myotonic response which lasted less than 100 s. A maximum increase in masseter tone was found to be greater than 1 kg in five patients, and 12 patients developed a maximum tone of greater than 500 g. An i...

Experiments were carried out on seven adult subjects in order to establish the relationship between the magnitude of the masseteric reflex and the amount of voluntary activity present in the muscle at the time the reflex was evoked. At the same time, an effort was made to determine whether the magnitude of the reflex could be enhanced by the simultaneous voluntary contraction of muscles other t...