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Bilateral temporalis hypertrophy
K Ali1, G Sittampalam, M A Malik
1Department of Oral & Maxillofacial Surgery, Great Western Hospital NHS Foundation Trust, Swindon SN3 6BN UK. drkamranali@hotmail.com <drkamranali@hotmail.com>
Abstract:
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.
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