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Article: Unilateral masseter muscle hypertrophy: morphofunctional analysis of the relapse after treatment with botulinum toxin.(Case study)
- Article from:
- CRANIO: The Journal of Craniomandibular Practice
- Article date:
- July 1, 2009
- Author:
CopyrightCOPYRIGHT 2009 Chroma, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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ABSTRACT: This is a case of unilateral masseter muscle hypertrophy (MMH) treated with botulinum toxin (NHAI--normalised hemi-facial asymmetry index improvement from 5.48 to 3.04). After 19 months, the treatment was repeated because of hypertrophy relapse (NHAI increase up to 6.82). The volume variations in the masseter area were monitored during 25 months using a laser scanner to compute facial volume. In order to relate the cause of hypertrophy and relapse to the presence of parafunctional activities, a nocturnal electromyography (EMG) study was conducted with positive results (nocturnal parafunctions of patients 4074.99 [micro]V to be compared with a control group value ...
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