What are treatments for temporalis hypertrophy?

Question

I've had a CT scan for my right side of my face and it shows that I have temporal hypertrophy on that side. Looks like I have a swollen head on one side which is super annoying . I've been going from doctor to doctor but either they never treat it . My last doctor told me he didn't have treatment options for that. I'm scheduled to see an oral surgeon in a couple weeks but my question is what are the treatments for an over enlarged temporal muscle? would Medicaid cover this treatment?

Jeffrey H. Spiegel, MD · Answer

There are surgical options, but the best first thing is botulinum injections (e.g. botox).  This should work if you don't have a bony abnormality as well.

Stephen J. Pincus, MD · Answer

I would try Botox injections first before anything invasive like surgery. It works quite well for masseter hypertrophy.

John L. Burns Jr., MD · Answer

The simplest option would be botox which relaxes the muscle and prevents hypertrophy.  This is a popular solution for massenteric hypertrophy and works in a similar fashion for this indication.

Barry L. Eppley, MD, DMD · Answer

Posterior temporal hypertrophy is treated by muscle excision through an incision behind the ear. This usually produces at least an 8 to 10mm reduction. The anterior temporal muscle (by the side of the eye), if involved, can not be excised due to its thickness and electrocautery is used to cause some muscle atrophy/shrinkage.

What are treatments for temporalis hypertrophy?

Answers (4)

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