Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature

We present a case of solitary neurofibroma in the masseter muscle that was excised via the high perimandibular approach (HPMA). A 52-year-old Japanese man complained of an uncomfortable feeling in his right buccal region. On examination, the buccal mucosa appeared normal, and overall, there were no...

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Main Authors: Anna Tomimatsu, Atsushi Kasamatsu, Masumi Igari, Chisato Hashimoto, Shuko Koide, Yutaro Kase, Manabu Iyoda, Dai Nakashima, Katsuhiro Uzawa
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/crid/8838385
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author Anna Tomimatsu
Atsushi Kasamatsu
Masumi Igari
Chisato Hashimoto
Shuko Koide
Yutaro Kase
Manabu Iyoda
Dai Nakashima
Katsuhiro Uzawa
author_facet Anna Tomimatsu
Atsushi Kasamatsu
Masumi Igari
Chisato Hashimoto
Shuko Koide
Yutaro Kase
Manabu Iyoda
Dai Nakashima
Katsuhiro Uzawa
author_sort Anna Tomimatsu
collection DOAJ
description We present a case of solitary neurofibroma in the masseter muscle that was excised via the high perimandibular approach (HPMA). A 52-year-old Japanese man complained of an uncomfortable feeling in his right buccal region. On examination, the buccal mucosa appeared normal, and overall, there were no skin disorders on the patient’s body. Computed tomography revealed a well-defined 33×22-mm mass in the right masseter muscle showing a low density in the center and a slightly higher density at the margin of the mass. Magnetic resonance imaging also showed a hyperintense area on T1-weighted and T2-weighted images in the masseter muscle. An excisional biopsy was scheduled for the diagnosis of the intramasseteric mass. It was performed via the HPMA with the patient under general anesthesia. The final diagnosis was a neurofibroma. The patient recovered after the surgery without postoperative complications, including facial nerve damage and trismus. He was satisfied with the esthetic outcome, and the tumor has not recurred over a 24-month follow-up period. Altogether, these outcomes indicate that the HPMA is an effective and useful option for excision of a tumor in the masseter muscle.
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spelling doaj-art-e42e2138fa2340aa8f5308c8a13f88032025-08-20T02:36:43ZengWileyCase Reports in Dentistry2090-64552025-01-01202510.1155/crid/8838385Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the LiteratureAnna Tomimatsu0Atsushi Kasamatsu1Masumi Igari2Chisato Hashimoto3Shuko Koide4Yutaro Kase5Manabu Iyoda6Dai Nakashima7Katsuhiro Uzawa8Department of Oral ScienceDepartment of Oral ScienceDepartment of Oral ScienceDepartment of Oral ScienceDepartment of Oral ScienceDepartment of Dentistry and Oral-Maxillofacial SurgeryDepartment of Oral ScienceDepartment of Dentistry and Oral-Maxillofacial SurgeryDepartment of Oral ScienceWe present a case of solitary neurofibroma in the masseter muscle that was excised via the high perimandibular approach (HPMA). A 52-year-old Japanese man complained of an uncomfortable feeling in his right buccal region. On examination, the buccal mucosa appeared normal, and overall, there were no skin disorders on the patient’s body. Computed tomography revealed a well-defined 33×22-mm mass in the right masseter muscle showing a low density in the center and a slightly higher density at the margin of the mass. Magnetic resonance imaging also showed a hyperintense area on T1-weighted and T2-weighted images in the masseter muscle. An excisional biopsy was scheduled for the diagnosis of the intramasseteric mass. It was performed via the HPMA with the patient under general anesthesia. The final diagnosis was a neurofibroma. The patient recovered after the surgery without postoperative complications, including facial nerve damage and trismus. He was satisfied with the esthetic outcome, and the tumor has not recurred over a 24-month follow-up period. Altogether, these outcomes indicate that the HPMA is an effective and useful option for excision of a tumor in the masseter muscle.http://dx.doi.org/10.1155/crid/8838385
spellingShingle Anna Tomimatsu
Atsushi Kasamatsu
Masumi Igari
Chisato Hashimoto
Shuko Koide
Yutaro Kase
Manabu Iyoda
Dai Nakashima
Katsuhiro Uzawa
Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature
Case Reports in Dentistry
title Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature
title_full Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature
title_fullStr Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature
title_full_unstemmed Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature
title_short Excision of a Solitary Neurofibroma in the Right Masseter Muscle via a High Perimandibular Approach: A Case Report and Review of the Literature
title_sort excision of a solitary neurofibroma in the right masseter muscle via a high perimandibular approach a case report and review of the literature
url http://dx.doi.org/10.1155/crid/8838385
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