A two-year follow-up of surgical and non-surgical treatments in patients with masticatory muscle tendon-aponeurosis hyperplasia

This study re-examined the usefulness of surgery for the management of masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) through a comparison of the outcomes between patients who underwent surgery and those who did not. The duration of follow-up was 2 years. Twenty-eight patients who attende...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2018-02, Vol.47 (2), p.199-204
Main Authors: Hayashi, N., Sato, T., Fukushima, Y., Takano, A., Sakamoto, I., Yoda, T.
Format: Article
Language:English
Subjects:
Adult
Aponeurosis - diagnostic imaging
Child
Contracture - diagnostic imaging
Contracture - surgery
Dentistry
Female
Follow-Up Studies
Humans
hyperplasia
Hyperplasia - diagnostic imaging
Hyperplasia - therapy
limited mouth opening
Magnetic Resonance Imaging
Male
masticatory muscle
Masticatory Muscles - diagnostic imaging
Masticatory Muscles - pathology
Middle Aged
non-surgical treatment
Oral Surgical Procedures
Radiography, Panoramic
Retrospective Studies
surgical treatment
Temporomandibular Joint Disorders - therapy
tendon-aponeurosis
Treatment Outcome
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Summary:This study re-examined the usefulness of surgery for the management of masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) through a comparison of the outcomes between patients who underwent surgery and those who did not. The duration of follow-up was 2 years. Twenty-eight patients who attended the study hospital and were given a diagnosis of MMTAH were included. Nineteen patients underwent surgery (surgical group) and nine patients were instructed to open their mouths wide once a day and did not undergo surgery (non-surgical group). Maximum mouth opening, impairment of daily activities, satisfaction, and the status of mouth opening training were evaluated after surgery. The mean increase in mouth opening after 2 years was 20.2mm in the surgical group and 2.4mm in the non-surgical group. Adequate mouth opening training led to satisfactory results 2 years postoperative, and sustained mouth opening training for 6 months after surgery was a key factor for obtaining good outcomes. The general condition and personality of individual patients should be evaluated carefully before surgery to estimate whether or not they can endure the pain associated with postoperative mouth opening training. The results of this study suggest that the surgical procedure is useful for the management of MMTAH.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2017.07.011