Reduction Mandibuloplasty Along with Partial Masseter Muscle Resection: Masseter Muscle Response and Bone Regeneration

Abstract

Objective: To compare the masseter muscle changes and bone regeneration between reduction mandibuloplasty along with partial masseter muscle resection and reduction mandibuloplasty alone.

Methods: Forty-seven patients who complained of prominent mandibular angle and hypertrophy masseter muscles (MMH) were divided into group 1 treated with reduction mandibuloplasty along with partial masseter muscle resection, and group 2 treated with reduction mandibuloplasty alone. Pre-5 days and long-term postoperative computed tomography data were collected, and the masseter muscle volume, hemi-mandible volume, and unilateral lower face width were measured. Patient satisfaction and complication were also evaluated.

Results: At long-term follow-up, group 1 showed a greater decrease in masseter volume (p < 0.001), and lower face width (p < 0.001), and less bone regeneration (p < 0.001) than group 2. Furthermore, patients in group 1 had higher satisfaction with the surgical outcome (p < 0.05).

Conclusion: Reduction mandibuloplasty along with partial masseter muscle resection can achieve a slender frontal appearance and significantly decrease bone generation. For patients with MMH, reduction mandibuloplasty along with partial masseter muscle resection is an effective and predictable lower face reshaping surgery.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .

Keywords: Bone regeneration; Computed tomography analysis; Partial masseter muscle resection; Prominent mandibular angle; Reduction mandibuloplasty.