scholarly journals Case Report of Idiopathic Masseteric Hypoplasia Treated With PMMA-Collagen Gel

2021 ◽  
Author(s):  
Brian Windle
Keyword(s):  
Masseter Muscle ◽  
Collagen Gel ◽  
Facial Asymmetry ◽  
Rare Condition ◽  
Mental Foramen ◽  
Surgical Correction ◽  
Surgical Approaches ◽  
Gonial Angle ◽  
Malformation Syndromes

Abstract Congenital hypoplasia of the masseter muscle is a rare condition most commonly associated with craniofacial or poly-malformation syndromes, with a small number of reported idiopathic cases. The condition is most commonly managed by orthodonture and later surgical intervention; however, surgery is not an option for all patients. Non-surgical approaches to correcting asymmetry may be considered for patients for whom the functional impact of hypoplasia has been largely managed and the patient’s concern is primarily aesthetic. In this case study, the patient presented for a consultation seeking a non-surgical solution for marked facial asymmetry. The patient underwent physical examination and magnetic resonance imaging to confirm diagnosis of congenital masseter muscle hypoplasia. To treat the asymmetry, a total of 9.6 cc of PMMA-collagen gel (Bellafill ®; Suneva Medical, Inc., San Diego, CA) was injected along the border of the mandible from the gonial angle out to the area of the mental foramen and slightly above over the course of 6 months (2 visits spaced 3 months apart) to provide long-term, non-surgical correction. The patient was very satisfied with the results, highlighting the potential for PMMA-collagen gel to be used in clinical situations in which durable, non-surgical correction of lower-face asymmetry is needed.

scholarly journals Management of Unilateral Masseter Hypertrophy and Hypertrophic Scar—A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Naresh Shetty ◽  
Rajanikanth K. Malaviya ◽  
M. K. Gupta
Keyword(s):  
Case Report ◽  
Hypertrophic Scar ◽  
Masseter Muscle ◽  
Muscle Hypertrophy ◽  
Treatment Options ◽  
Facial Asymmetry ◽  
Rare Condition ◽  
Keloid Scar ◽  
Masseter Muscles ◽  
Single Approach

Masseter muscle hypertrophy is a rare condition of idiopathic cause. It clinically presents as an enlargement of one or both masseter muscles. Most patients complain of facial asymmetry; however, symptoms such as trismus, protrusion, and bruxism may also occur. Several treatment options reported for masseter hypertrophy are present, which range from simple pharmacotherapy to more invasive surgical reduction. Keloid scar with unilateral masseter hypertrophy is a rarely seen in clinical practice. This paper reports a case of unilateral masseter hypertrophy with keloid scar in the angle of the mandible for which surgical treatment was rendered to the patient by using a single approach.

Angle Osteoplasty and Cosmetic Debulking for Correction of a Case of Unilateral Masseteric Hypertrophy

2020 ◽  
pp. 074880682097452
Author(s):  
Colonel (Dr) Priya Jeyaraj
Keyword(s):  
Masseter Muscle ◽  
Muscle Hypertrophy ◽  
Facial Asymmetry ◽  
Aesthetic Outcome ◽  
Surgical Debulking ◽  
Uncommon Condition ◽  
Strong Motivation ◽  
Surgical Modality ◽  
Term Management

Facial asymmetry is one of the commonest causes of impaired aesthetics, serving as a strong motivation for patients to seek corrective treatment. Benign masseteric hypertrophy is a well-known, albeit uncommon condition of rather obscure etiology, resulting from unilateral or bilateral increase in volume and bulk of the masseter muscle, that may or may not be accompanied by hyperostosis of the underlying bony angle of the mandible. This report elaborates a modified surgical modality and operative technique that effectively addresses both, the hard as well as soft tissue malformations in the region simultaneously, and is associated with the least incidence of relapse and recurrence of the condition. A 26-year-old woman with severe facial asymmetry resulting from unilateral masseteric hypertrophy was taken up for surgical debulking of the masseter. Surgical resection of one-third of the hypertrophied muscle bulk from its inner or medial aspect, followed by shaving of bony spurs and recontouring of angle of the mandible, was done. The surgical technique described is a definitive, efficacious, and reliable intervention for successful and long-term management of idiopathic masseter muscle hypertrophy that results in an excellent and long-lasting aesthetic outcome.

Persistent Multispecies Actinomyces Mastitis Treated With Repeated Aspiration and Long-Term Oral Antibiotics

2021 ◽  
pp. 000313482110257
Author(s):  
Colin Jenkins ◽  
Anand Ganapathy ◽  
Crystal Fancher ◽  
Kazuhide Matsushima
Keyword(s):  
Antibiotic Therapy ◽  
Rare Condition ◽  
Breast Abscess ◽  
Amoxicillin Clavulanic Acid ◽  
Recurrent Breast ◽  
Causative Bacterium ◽  
Repeated Aspiration ◽  
Prolonged Antibiotic Therapy

Actinomycosis is an infection characterized by abscess formation, draining sinuses, and tissue fibrosis. The causative bacterium is a Gram-positive facultative anaerobe from the genus Actinomyces. Infections classically affect the cervicofacial, thoracic, or pelvic region and often require prolonged antibiotic therapy. Actinomycosis of the breast is a rare condition that may present as a recurrent breast abscess. We present a 33-year-old female with a recurrent breast abscess which grew A. radingae and A. israeli on aspirated fluid cultures. Treatment with surgical aspiration and a 6-week course of oral amoxicillin/clavulanic acid 875 mg twice daily resulted in clinical improvement. Our case demonstrates how recurrent breast abscesses caused by Actinomyces can be difficult to manage. Long-term antibiotic therapy with surgical aspiration and regular follow-up offer the best chance of clinical resolution.

scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

Effects on rabbit masseter muscle fiber after long-term raising on a powdered diet

2014 ◽  
Vol 73 (1) ◽  
pp. 35-35
Author(s):  
Takumi Morita ◽  
Takuya Fujiwara ◽  
Hiroki Takasu ◽  
Keisuke Saito ◽  
Shigemi Goto ◽  
...  
Keyword(s):  
Muscle Fiber ◽  
Masseter Muscle

scholarly journals Laparoscopic resection of bilateral perinephric pseudocyst in a pediatric feline patient

2019 ◽  
Vol 5 (1) ◽  
pp. 205511691985064
Author(s):  
Margaret Amparo Placer ◽  
Cindy McManis
Keyword(s):  
Laparoscopic Resection ◽  
Kidney Injury ◽  
Abdominal Distension ◽  
Surgical Approaches ◽  
Subtotal Resection ◽  
Invasive Approach ◽  
Less Invasive Approach ◽  
History Of ◽  
Grade 3

Case summary A 6-month-old male domestic shorthair cat presenting with abdominal distension and an acute history of renal azotemia was diagnosed with bilateral perinephric pseudocysts and International Renal Interest Society (IRIS) grade 3 acute kidney injury. Ultrasound-guided drainage of the cysts was performed initially; bilateral subtotal resection of the perinephric pseudocysts was later performed using laparoscopy as a more long-term solution. There was no regrowth or reformation of the perinephric pseudocysts 1 year after the procedure, and the cat remained in IRIS stage 2 chronic kidney disease 1 year postoperatively. Relevance and novel information Compared with traditional surgical approaches, laparoscopic resection of perinephric pseudocysts provides a less invasive approach. Bilateral perinephric pseudocyst in a pediatric feline patient (and associated treatment) has not previously been documented in the literature.

scholarly journals Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report

2021 ◽  
pp. 85-90
Author(s):  
Abdalla Khalil ◽  
Jithesh Choyi ◽  
Khalil Hossenbux ◽  
Ahmed Taha
Keyword(s):  
Emergency Department ◽  
Serum Potassium ◽  
Serum Magnesium ◽  
Facial Asymmetry ◽  
Recurrent Seizure ◽  
Electrolyte Disturbances ◽  
Generalized Seizures ◽  
Prolonged Qt Interval ◽  
Ct Brain

Hypomagnesemia is one of the electrolyte disturbances that can cause seizures. It is common in the hospitalized patients and can be induced by long-term usage of many medications. A 68-year-old male known to have hypertension and gastroesophageal reflux presented to the Emergency Department with an unprovoked first seizure at home followed by a temporary right-sided hemiparesis, dysphasia, and facial asymmetry. The hemiparesis, dysphasia, and facial asymmetry resolved within less than an hour after the seizure. His serum potassium was low with prolonged QT interval in the electrocardiogram (serum magnesium was not checked in the Emergency Department). He received intravenous IV potassium chloride infusion, and his serum potassium level was corrected, but he had a recurrent seizure after 10 h. At that time, his serum magnesium was found to be very low, he received IV magnesium sulfate infusion, and his indapamide, omeprazole, and metformin medications were stopped. He had no further seizures, the rest of his blood tests were normal, and his CT brain was unremarkable. He was treated for aspiration pneumonia, and his outpatient MRI brain and EEG came to be normal too.

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