Use of Ultrasonography and Face Scan in the Follow-up of Masseter Hypertrophy Management: Two Cases

H. Eren, Nilsun BAĞIŞb, K. Orhan
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引用次数: 1

Abstract

agnosis is completed through physical and imaging examinations. Over time, chronic clenching leads to hypertrophy of masseters causing a square appearance of face profile becuse of swelling that can be seen in the angular mandibular region of the face. Masseter muscle hypertrophy can be unilateral or bilateral but most commonly on the dominant side.1,2 The etiology of masseter hypertrophy includes several factors like emotional stress, chronic bruxism, masseteric hyperfunction, and parafunction.3-5 Muscle tumors, salivary gland disorders, and intrinsic masseter myopathy must be taken into account in differential diagnosis. Therefore, it is important to take an intentive clinical history and conducting physical examination as well as monitoring the region of interest by one of the several imaging methods such as magnetic resonance imaging (MRI), computed tomography (CT) or ultrasonography (USG). Also, changes in masseter muscles during the management of hypertrophy can be monitored and measured easily via ultrasonography and face scan of CBCT devices. Correction procedures of masseter hypertrophy are often requested for esthetic reasons due to altered face profile. There are surgical and non-surgical methTurkiye Klinikleri J Dental Sci. 2020;26(3):521-7
超声和面部扫描在咬肌肥大治疗随访中的应用:2例
诊断是通过物理和影像学检查完成的。随着时间的推移,慢性握紧会导致咬肌肥大,导致面部轮廓呈方形,因为脸部的下颌角区域会出现肿胀。咬肌肥大可以是单侧或双侧,但最常见的是在优势侧。咬肌肥大的病因包括情绪紧张、慢性磨牙、咬肌功能亢进和功能异常等因素。3-5肌肉肿瘤、唾液腺疾病和固有咬肌病在鉴别诊断时必须考虑。因此,重要的是要仔细了解临床病史,进行体格检查,并通过磁共振成像(MRI)、计算机断层扫描(CT)或超声检查(USG)等几种成像方法之一监测感兴趣的区域。此外,通过CBCT设备的超声检查和面部扫描,可以很容易地监测和测量咬肌在肥厚处理过程中的变化。由于面部轮廓的改变,通常需要对咬肌肥大进行矫正手术。有手术和非手术方法[J] .中华口腔医学杂志,2020;26(3):521-7
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