Open AccessMasticatory muscle tendon-aponeurosis hyperplasia accompanied by limited mouth opening
Author(s) -
Tetsuya Yoda
Publication year - 2019
Publication title -
journal of the korean association of oral and maxillofacial surgeons/journal of the korean association of oral and maxillofacial surgeon/daehan gu'gang ag'anmyeon oe'gwa haghoeji
Language(s) - English
Resource type - Journals
eISSN - 2234-5930
pISSN - 1225-1585
DOI - 10.5125/jkaoms.2019.45.4.174
Subject(s) - aponeurosis , medicine , splint (medicine) , palpation , anatomy , masseter muscle , masticatory force , tendon , orthodontics , dentistry , surgery
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.