Submasseteric abscess

Case contributed by Dr Bruno Di Muzio

Presentation

Parotid collection on ultrasound, abscess?

Patient Data

Age: 75-year-old

CT Neck

Modality: CT

Lobulated ring enhancing lesion with central hypodensity involving the deep portion of the left masseter muscle with minor overlying subcutaneous stranding. The left third molar tooth shows decay and alveolus cavitation/abscess that breaks through the external mandibular cortex in contiguity with the masseter lesion. No periosteal reaction identified. A few likely reactive left level II lymph nodes. Parotid and submandibular glands are symmetrical and have normal appearances. The remainder of the deep neck spaces is unremarkable. Images lung apices appear normal. 

Panaroramic (OPG)

Modality: X-ray

Radiograph confirming the tooth decay and periapical abscess. 

Case Discussion

This case shows a submasseteric abscess that clinically and sonographically was thought to be from the parotid gland. Third molar infection is probably the most frequent cause of this kind of head and neck abscess. 

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Case Information

rID: 50069
Case created: 16th Dec 2016
Last edited: 18th Dec 2016
System: Head & Neck
Tag: rmh
Inclusion in quiz mode: Included

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