Open AccessINTRAMUSCULAR HEMANGIOMA OF THE MASSETER MUSCLE:A CASE REPORT
Author(s) -
K. Anandan,
S. Swetha Priyadharshini,
R. Kannan
Publication year - 2022
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/6500201
Subject(s) - medicine , masseter muscle , hemangioma , cheek , soft tissue , vascular malformation , differential diagnosis , lesion , trunk , surgery , angioma , physical examination , tongue , anatomy , radiology , vascular disease , pathology , ecology , biology
Background - Intramuscular hemangiomas are benign vascular tumours that most frequently occur in the trunk andextremities.They constitute about <1% of all hemangiomas, only 10%–20% have been found to arise in the head andneck region, and 36% of cases involving masseter muscle.They usually present as gradually enlarging soft-tissue masswith or without pain. They are located deep within the muscle, hence rarely exhibit clinical signs or symptoms such asbruits, thrills, pulsation which are suggestive of vascular origin. Due to their rare occurrence, unique location they areoften confused with other soft-tissue pathologies such as parotid swelling or other muscular lesions.Case report - 21 year old male came with complaints of swelling and pain over the left cheek for past 6 months whichwas insidious in onset and non progressive.Patient did not have any history of trauma or increased salivation.Onexamination swelling of about 2*2 cm over the left cheek,well defined,non tender,soft in consistency.There was nopulsation,bruits or palpable thrill.There was no compressibility and the overlying skin was normal.There was no facialnerve involvement and parotid duct orifice was normal.Conclusion - The possibility of an Intramuscular hemangioma of the masseter muscle should be included in thedifferential diagnosis of any intra-masseteric lesion. Appropriate radiologic examinations, especially MRI, can enhanceaccurate preoperative diagnosis; the treatment of choice should be individualized in view of the clinical status of thepatient.