J Korean Assoc Oral Maxillofac Surg.  2019 Aug;45(4):174-179. 10.5125/jkaoms.2019.45.4.174.

Masticatory muscle tendon-aponeurosis hyperplasia accompanied by limited mouth opening

Affiliations
  • 1Department of Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan. yoda.mfs@tmd.ac.jp

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.

Keyword

Masticatory muscle; Tendon; Aponeurosis; Limited mouth opening

MeSH Terms

Adolescent
Diagnosis
Drug Therapy
Humans
Hyperplasia*
Mandible
Masseter Muscle
Masticatory Muscles*
Mouth*
Occlusal Splints
Palpation
Tendons
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