CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 236-238

Management of trismus by masseter myotomy


1 Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth's Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India
2 Department of Oral and Maxillofacial Surgery, Sahyadri Hospital, Pune, Maharashtra, India

Correspondence Address:
Sonal Bhavesh Shah
Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth's Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.126366

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Mild trismus after parotid gland surgery may be related to inflammation and fibrosis of the masseter muscle. We present a case of long standing trismus due to masseter muscle spasm caused by a recurrent pleomorphic adenoma. As the patient did not agree for removal of the pleomaorphic adenoma, owing to the risk of injuring the facial nerve, a masseter myotomy with inter-positioning of temporalis fascia was planned for symptomatic relief. Mouth opening showed significant improvement even 1 year post-operatively.


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