Mylohyoid boutonniere

Case contributed by Dr Maulik S Patel


Presented with a history of bilateral upper neck paramedian bulge for the last few days. No history of pain or fever.

Patient Data

Age: 20 years
Gender: Male

The clinically visible and palpable lumps in both submandibular regions are due to herniation of bilateral sublingual gland through the defect in the bilateral mylohyoid muscles. They appear with swallowing and tongue movements. Both bulges are reducible. The herniation is more prominent on the right side. Both sublingual glands show normal echo pattern. There is no lymphadenopathy. Bilateral submandibular glands are normal.

Case Discussion

Ultrasound findings favor bilateral mylohyoid boutonniere in a young male.

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Case information

rID: 64678
Published: 5th Dec 2018
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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