Cephalometric characteristics in patients with hyperplasia of the tendon and aponeurosis of masticatory muscles who have square mandibles

  • Kubo Hirohito
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Kakudo Kenji
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Goto Michiko
    Graduate School of Dentistry (Second Department of Oral and Maxillofacial Surgery), Osaka Dental University
  • Gotoh Motohiro
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Yoshimoto Hitoshi
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Ohnishi Yuichi
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Motohashi Tomokazu
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Nakajima Masahiro
    Second Department of Oral and Maxillofacial Surgery, Osaka Dental University
  • Minoura Sae
    Graduate School of Dentistry (Department of Orthodontics), Osaka Dental University
  • Nishiura Aki
    Department of Orthodontics, Osaka Dental University
  • Matsumoto Naoyuki
    Department of Orthodontics, Osaka Dental University
  • Arika Takumi
    Department of Oral and Maxillofacial Surgery, National Hospital Organization, Osaka National, Hospital

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Abstract

Hyperplasia of the tendon and aponeurosis of masticatory muscles (HyTAM) is a new disease entity characterized by chronic severe mandibular hypomobility with a square mandible caused by contracture of the masticatory muscles resulting from hyperplasia of tendons and aponeuroses. We investigated the skeletal features of HyTAM using cephalometric analysis. Angular analysis showed that the gonial angle (p<0.01), FMA (p<0.05), cant of the occlusal plane (p<0.01) and Y-axis (p<0.001) were significantly less than the standard values. The saddle angle (p<0.05) and facial angle (p<0.001) were significantly greater than the standard values. Linear analysis showed that S-Go/N-Me was significantly less than the standard value (p<0.05). The typical patient with HyTAM is characterized by a square mandibular configuration. Based on our findings, it is reasonable to suppose that HyTAM is marked by a lower gonial angle. Our findings also indicated that HyTAM patients not only showed hyperplasia of the tendon and aponeurosis of masticatory muscles, but also had unique facial skeletal appearances such as jaw deformity.

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