Evidence map›Paper›PMID 39998108›Full record

ReviewToxins2025

The Role of Botulinum Toxin for Masseter Muscle Hypertrophy: A Comprehensive Review.

Martina Ferrillo, Eleonora Sommadossi, Loredana Raciti, Dario Calafiore, Kamal Mezian, Valeria Tarantino, Michele Vecchio, Umile Giuseppe Longo, Luigi Losco, Alessandro de Sire

Abstract readReview
In one paragraph

Review in Toxins, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Observational
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Martina FerrilloDentistry Unit, Department of Health Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.ORCID 0000-0003-1878-4694
Eleonora SommadossiPrivate Practice, 10121 Turin, Italy.
Loredana RacitiUnità Spinale Unipolare, Azienda Ospedaliera per le Emergenze Cannizzaro, 98102 Catania, Italy.ORCID 0000-0003-0564-2320
Dario CalafiorePhysical Medicine and Rehabilitation Unit, Department of Neurosciences, ASST Carlo Poma, 46100 Mantova, Italy.ORCID 0000-0001-9221-2497
Kamal MezianDepartment of Rehabilitation Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, 12800 Prague, Czech Republic.
Valeria TarantinoPrivate Practice, 90142 Palermo, Italy.
Michele VecchioDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.ORCID 0000-0001-5254-3283
Umile Giuseppe LongoFondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Roma, Italy.ORCID 0000-0003-4063-9821
Luigi LoscoDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Salerno, Italy.ORCID 0000-0001-9105-1839
Alessandro de SirePhysical Medicine and Rehabilitation, Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.ORCID 0000-0002-5541-8346

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Masticatory muscle hypertrophy (MMH) is a rare clinical phenomenon of uncertain etiology, characterized by a soft swelling near the angle of the jaw. This abnormal enlargement of the masseter muscle can alter the facial profile, leading to aesthetic concerns. Moreover, MMH may also have significant functional repercussions, including pain in the masseter region, often associated with temporomandibular disorders, fatigue, and discomfort during mastication. Non-conservative approaches offer an effective and minimally invasive solution by inducing localized muscle relaxation and reducing hypertrophy. Botulinum neurotoxin type A (BoNT/A) represents a therapeutic option for managing MMH, considering that injections can effectively reduce the masseter muscle volume, improving both facial aesthetics and related symptoms. Currently, the standard non-surgical management of MMH is BoNT/A injections, although consensus on the average dosage has not been definitely reached; on the other hand, there are data available in the literature about the injection technique of BoNT/A for lower face contouring. Therefore, the present comprehensive review aimed at exploring in detail the role of BoNT/A in the treatment of masseter muscle hypertrophy, describing its mechanism of action, the administration protocols, the clinical effects, and any side effects.

Indexed as

Botulinum Toxins, Type AHypertrophyMasseter MuscleNeuromuscular AgentsAnimalsHumansBotulinum Toxins, Type ANeuromuscular Agentsbotulinum toxin type Alower face contouringmasseter muscle hypertrophy

Identifiers

PMID39998108
PMCPMC11860558

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.