Masseter and medial pterygoid muscle hypertrophy.
Hypertrophy refers to an enlargement caused by an increase in the size but not in the number of cells. Generalised masticatory muscle hypertrophy may affect the temporalis muscle, masseters and medial pterygoids in a variety of combinations. Masseteric hypertrophy may present as either unilateral or bilateral painless swelling of unknown origin in the region of angle of mandible. It is a relatively rare condition and presents a diagnostic dilemma. While the history and clinical examination are important in differentiating this benign condition from parotid or dental pathology, they cannot necessarily exclude rare malignant lesion within the muscle. Advanced imaging modalities like CT and MRI are essential to confirm the diagnosis. Here the authors are reporting a unique case of masseter muscle hypertrophy along with medial pterygoid hypertrophy which was missed clinically but confirmed using CT and MRI.
Department of Oral Medicine and Radiology, People's College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India.
R
R
Guruprasad
Sudhirkumar
S
Rishi
Preeti P
PP
Nair
Shaji
S
Thomas
D003937:Diagnosis, Differential; D005146:Facial Asymmetry / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D006984:Hypertrophy / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008406:Masseter Muscle / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011626:Pterygoid Muscles / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011862:Radiography, Panoramic; D014057:Tomography, X-Ray Computed; D055815:Young Adult