Recurrent parotid swelling secondary to masseter muscle hypertrophy: a multidisciplinary diagnostic and therapeutic approach
| العنوان: | Recurrent parotid swelling secondary to masseter muscle hypertrophy: a multidisciplinary diagnostic and therapeutic approach |
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| المؤلفون: | Giampietro Farronato, Lorenzo Pignataro, Pasquale Capaccio, Michele Gaffuri, Pollyanna Pereira, Fausto Assandri |
| المصدر: | CRANIO®. 34:388-394 |
| بيانات النشر: | Informa UK Limited, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, Sialography, Magnetic Resonance Imaging, Cine, Electromyography, Muscle hypertrophy, Masseter muscle, 03 medical and health sciences, 0302 clinical medicine, Recurrence, Orthodontic Appliances, Removable, medicine, Edema, Humans, 030223 otorhinolaryngology, Intersectoral Collaboration, General Dentistry, medicine.diagnostic_test, Masseter Muscle, business.industry, Magnetic resonance imaging, Hypertrophy, 030206 dentistry, Middle Aged, Surgery, Parotid gland, Parotid Region, medicine.anatomical_structure, Otorhinolaryngology, Bruxism, Female, Interdisciplinary Communication, Parotid Diseases, Radiology, business |
| الوصف: | To present a patient with an atypical recurrent parotid swelling due to masseter muscle hypertrophy and the diagnostic/therapeutic assessment to treat this condition.A patient referring recurrent right facial swelling underwent a complete multidisciplinary assessment of the parotid region that revealed masseter muscle hypertrophy, confirmed by means of clinical (otolaryngological and gnathological evaluation), radiological (utrasonography, dynamic magnetic resonance imaging, and cone beam computed tomography), instrumental (electromyography to evaluate the right masseter muscle function and kinesiography to evaluate maximum right deflection - MaxRDefl and maximum opening - MaxMO) and sialendoscopy assessment where T0 indicates the pre-treatment values. All electromyographic and kinesiographic parameters were evaluated six months after the orthodontic application of a neuromuscular orthosis at T1. At T1, the effectiveness of the orthodontic therapy was demonstrated by the complete resolution of symptoms, and instrumental results documented more efficient muscle activity at rest and during clenching and a better mandibular position. At EMG T1, the resting and post-TENS values were, respectively, 1.2 and 1.8 microV. At kinesiography, MaxRDefl increased from 10.2 (T0) to 10.5 mm (T1); maxMO increased from 41.2 (T0) to 48 mm (T1).The proposed multidisciplinary assessment based on otolaryngological, gnathological, and radiological evaluation may be useful in the case of recurrent parotid swelling secondary to masseter muscle hypertrophy to plan an appropriate management with a removable neuromuscular orthosis. |
| تدمد: | 2151-0903 0886-9634 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2c62f22b60ea9940b65885c05527cd17Test https://doi.org/10.1080/08869634.2016.1142694Test |
| رقم الانضمام: | edsair.doi.dedup.....2c62f22b60ea9940b65885c05527cd17 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21510903 08869634 |
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