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Masticatory muscle tendon-aponeurosis hyperplasia accompanied by limited mouth opening

대한구강악안면외과학회지 2019년 45권 4호 p.174 ~ 179
 ( Yoda Tetsuya ) - Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences Department of Maxillofacial Surgery

Abstract


Patients with masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) experience limited mouth opening due to restricted muscle extension. Hyperplastic aponeurosis and tendons lead to the restriction of muscle extension. The criteria for the diagnosis of MMTAH are limited mouth opening that progresses very slowly from adolescence, intraoral palpation reveals a hard cord-like structure along the overhang of the anterior border of the masseter muscle on maximum mouth opening, and a square mandible. Conservative treatment, including pharmacotherapy, occlusal splint and physical therapy are ineffective. The standard therapy is surgical treatment, such as anterior partial aponeurectomy of the masseter muscle and coronoidectomy. The long-term results are very satisfying.

키워드

Masticatory muscle; Tendon; Aponeurosis; Limited mouth opening
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