Management of Short Face Syndrome with Masseter Muscle Hypertrophy: A Surgery-First Approach.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Maxillofacial & Oral Surgery Pub Date : 2023-12-01 Epub Date: 2023-04-25 DOI:10.1007/s12663-023-01921-8
Ashwina S Banari, Sanjeev Datana, A N Kunal, Yuvraj Issar
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引用次数: 0

Abstract

Short face syndrome (SFS) is a condition with a clinical impression of deficient lower anterior facial height, which is an esthetic disharmony based on vertical facial proportions rather than absolute dimensions. Masseter hypertrophy is one of the etiologic factors in which there is an enlargement of unilateral or bilateral masseter muscles. Clinically, it presents as a quadrangular face characterized by bulging of the mandibular angle giving a muscular appearance. Despite the muscular origin, surgery should be aimed toward bony reduction (osteoplasty) followed by supplemented myotomy. This case report addresses one such case of SFS treated with surgery-first approach and supplemented myotomy with a 1-year follow-up. The esthetic facial profile, pleasant smile and overall good treatment outcome remained stable 1 year after orthognathic surgery and orthodontic treatment.

短脸综合征伴咬肌肥大的治疗:手术优先的方法
短脸综合征(SFS)是一种临床表现为面部前下方高度不足的疾病,是一种基于面部垂直比例而非绝对尺寸的美学不协调。颌下肌肥大是单侧或双侧颌下肌肥大的病因之一。临床表现为四角形脸,下颌角隆起,给人以肌肉发达的感觉。尽管病因是肌肉性的,但手术的目的应该是削骨(骨整形术),然后辅以肌肉切除术。本病例报告介绍了一例采用先手术后辅助肌切开术治疗的 SFS 病例,并进行了为期 1 年的随访。患者在接受正颌手术和正畸治疗 1 年后,面部轮廓美观,笑容怡人,整体治疗效果良好。
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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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