• Med Princ Pract · Jan 2014

    Case Reports

    Bilateral masseter and internal pterygoid muscle hypertrophy: a diagnostic challenge.

    • Dimitrios Andreadis, Florentia Stylianou, Iris Link-Tsatsouli, and Anastasios Markopoulos.
    • Department of Oral Medicine/Pathology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
    • Med Princ Pract. 2014 Jan 1; 23 (3): 286-8.

    ObjectiveTo describe an unusual case of bilateral masseter and pterygoid muscle hypertrophy.Clinical Presentation And InterventionA 53-year-old female patient presented with a bilateral, painless swelling at the parotid areas without improvement after using antibiotics/systemic corticosteroids/nonsteroidal anti-inflammatory agents. Her medical history included thyroid nodules, but no dental/occlusal disorders were observed. The initial differential diagnosis included salivary gland/jaw bone/masseter pathology, but the CT/MRI revealed only an increase in the size of the masseter and pterygoid muscles. The patient was informed of the benign nature of the swelling and was advised to discontinue the use of nonsteroidal anti-inflammatory agents.ConclusionThe bilateral hypertrophy of masseter muscles should be considered in differential diagnosis in cases of unilateral or bilateral swelling of the parotid or lateral mandible area.© 2013 S. Karger AG, Basel.

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