PMC3400329_01
Pre-op frontal view.
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fig1
Data from clinical and radiographic examination led to the diagnosis of unilateral masseter muscle hypertrophy (Figures 1, 2, 3, 4, 5, and 6).
Pre-op right lateral view.
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fig2
Data from clinical and radiographic examination led to the diagnosis of unilateral masseter muscle hypertrophy (Figures 1, 2, 3, 4, 5, and 6).
Pre-op left lateral view.
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fig3
Data from clinical and radiographic examination led to the diagnosis of unilateral masseter muscle hypertrophy (Figures 1, 2, 3, 4, 5, and 6).
Pre-op left close-up view.
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fig4
Data from clinical and radiographic examination led to the diagnosis of unilateral masseter muscle hypertrophy (Figures 1, 2, 3, 4, 5, and 6).
Pre-op occlusion.
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fig5
Data from clinical and radiographic examination led to the diagnosis of unilateral masseter muscle hypertrophy (Figures 1, 2, 3, 4, 5, and 6).
Pre-op OPG.
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fig6
Data from clinical and radiographic examination led to the diagnosis of unilateral masseter muscle hypertrophy (Figures 1, 2, 3, 4, 5, and 6).
Intraoperative view.
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fig7
An elliptical incision was placed around the hypertrophic scar and the scar was removed (Figure 7).
Hypertrophic muscle removed.
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fig8
Debulking of the masseter muscle was performed as the patient was very worried about the asymmetry of the face (Figure 8).
Bony excess resected at angle.
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fig9
The bony deformity was trimmed and removed in the angle of the mandible with surgical bur (Figure 9).
Resected masseter muscle.
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fig10
The shaved masseter muscle and the resected excess mandibular angle was sent to oral pathology department in 10% formalin (Figures 10 and 11).
Resected angle.
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fig11
The shaved masseter muscle and the resected excess mandibular angle was sent to oral pathology department in 10% formalin (Figures 10 and 11).
Sutures placed.
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fig12
Primary closure was done with 5-0 prolene suture (Figure 12).