Age Related Changes of Superior Orbicularis Oris Muscle in Terms of Tone and Viscoelastic Properties : Journal of Craniofacial Surgery

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Age Related Changes of Superior Orbicularis Oris Muscle in Terms of Tone and Viscoelastic Properties

Ramazanoglu, Engin MSc, PT; Turhan, Begümhan PhD; Usgu, Serkan PhD

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Journal of Craniofacial Surgery 33(1):p 236-239, January/February 2022. | DOI: 10.1097/SCS.0000000000007992



To examine the age-related changes in the viscoelastic properties and tone of the superior orbicularis oris muscle by a portablehand-held myotonometer.


A total of 128 individuals (65 female, 63 male) who met the inclusion criteria were evaluated. Individuals were divided into 2 groups as under 40 years old (Group 1), and above (Group 2). The viscoelastic properties and muscle tone of orbicularis oris muscle were evaluated bilaterally in supine position with the Myoton PRO (Myoton AS, Estonia) device from the skin overlying the orbicularis oris. The reference point is accepted as the right and left paramedial philtrum dimple. The statistical analysis was performed.


There was no statistically significant difference in the elasticity values of the right and left orbicularis oris muscles of the Group 1 and Group 2 individuals. There was a difference between the groups when the tone and stiffness values of both groups were compared. It was determined that individuals over the age of 40 had higher muscle tone and stiffness. All mechanical properties of the superior orbicularis oris muscle between the male and female individuals in Group 1 were different. The values are higher in the female gender. The elasticity values in both genders in Group 2 were similar. Tone and stiffness parameters were different between genders.


Myoton PRO can be recommended as an alternative device in the quantitative evaluations of post-operative follow-ups, and pre/post rehabilitation in terms of viscoelastic parameters of the muscle.

Copyright © 2021 by Mutaz B. Habal, MD

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