Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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SURGICAL CORRECTION OF MASSETER MUSCLE HYPERTROPHY : REPORT OF THREE CASES

교근비대증의 외과적 치료 : 증례보고

  • Kim, Soo-Min (Dept. of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Yeo, Hwan-Ho (Dept. of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Dept. of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University)
  • 김수민 (조선대학교 치과대학 구강악안면외과학교실, 구강생물학연구소) ;
  • 여환호 (조선대학교 치과대학 구강악안면외과학교실, 구강생물학연구소) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실, 구강생물학연구소)
  • Received : 1999.04.19
  • Accepted : 1999.05.06
  • Published : 1999.06.30
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Abstract

This article discusses the diagnosis, anatomic consideration, and surgical management of masseter muscle hypertrophy. Surgical correction is advised for patients who have esthetic complaints. Esthetic improvement can be achieved by surgery and not by conservative treatment. Recently, the intraoral method, which leaves no scar on the face and minimizes the possibility of injury to the marginal branch of the facial nerve, has been supported by many surgeons. Patients who complained of marked swelling of unilateral or bilateral mandibular angle area and showed abnormal bony growth at the mandibular angle area and enlarged masseter muscle received mandibular angle shaving and excision of the inner layer of masseter muscle with intraoral approach. After operation, physiotherapy was done with EAST(eletrical acupuncture stimulation therapy) for encouraging the mouth opening and reducing the swelling. They showed early maximum mouth opening and reduction of swelling.

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