CASE REPORT   

European Journal of Oral and Maxillofacial Surgery 2020 December;4(3):108-10

DOI: 10.23736/S2532-3466.19.00197-8

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Bilateral idiopathic masseteric hypertrophy: first report of postoperative recurrence and management

Baljeet K. BASRA ^{1, 2} ✉, Sujoy ROYCHOWDHURY ³, Rahul GOYAL ¹, Mohmed F. SHAIKH ¹

¹ Department of Burns and Plastic Surgery, B.J. Medical College, Ahmedabad, India; ² Hand Surgery Unit, Fremantle Hospital, Fremantle, Australia; ³ Unit of Plastic Surgery, Royal Perth Hospital, Perth, Australia

Masseter hypertrophy is an uncommon condition that may cause aesthetic and functional problems. We present a case of a recurrent masseteric hypertrophy recurring six months following partial excision of masseter along with partial resection of the angle of mandible. The patient was re-operated following recurrence. The indication of surgery was encouraging result following first surgery as well as patient’s preference. Submandibular extraoral approach was employed at the time of primary surgery and the surgery following recurrence. No further recurrence was noted on follow-up. Surgical management is recommended to achieve optimal aesthetic results. It needs to be emphasized that the patient should be clearly explained and accept the possible risk of recurrence following surgery as the condition is idiopathic and any management is designed to take care of the manifestations rather than the underlying cause of condition.

KEY WORDS: Masseter muscle; Facial asymmetry; Hemifacial myohyperplasia; Recurrence