Bilateral temporalis hypertrophy.
Temporalis muscle hypertrophy is rare and may present unilaterally or bilaterally. Variable combinations with masseteric hypertrophy are also reported. It may be associated with a parafunctional habit or occur as an idiopathic entity. A host of modalities including CT, MRI, ultrasonography and muscle biopsy may be utilized for diagnosis. While surgical reduction remains an option, medical therapy with boutlinum type A toxin is the treatment of choice. A case of bilateral temporalis hypertrophy in a 38-year-old female is reported.
Ali
K
K
Department of Oral & Maxillofacial Surgery, Great Western Hospital NHS Foundation Trust, Swindon SN3 6BN UK. drkamranali@hotmail.com <drkamranali@hotmail.com>
Sittampalam
G
G
Malik
M A
MA
D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D008279:Magnetic Resonance Imaging; D009465:Neuromuscular Agents / Q000627:therapeutic use; D013703:Temporal Muscle / Q000187:drug effects / Q000473:pathology*
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A