A chronic organized masseter abscess causing trismus resolved by hemi-masseter myotomy.
We present a 62-year-old patient with a chronic organized abscess of the right masseter muscle that developed following parotidectomy. This patient's chronic abscess originated from an infection in the masticator space from the second molar. Cases of repeated parotitis should lead one to suspect a masticator space infection. In this case, the cicatricical masseter muscle produced severe trismus. Total eradication of the abscess and myotomy of the masseter resolved the problem completely. We should pay attention to the dental condition in case of masticator space infection, especially in case of masseter muscle infection mimicking parotitis.
Nishimura
T
T
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, Japan.
Okabe
Y
Y
Furukawa
M
M
D000038:Abscess / Q000175:diagnosis* / Q000209:etiology; D002908:Chronic Disease; D003560:Cysts / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008406:Masseter Muscle / Q000503:physiopathology*; D008875:Middle Aged; D010306:Parotid Gland / Q000503:physiopathology* / Q000601:surgery; D011183:Postoperative Complications; D014313:Trismus / Q000209:etiology* / Q000601:surgery*