Recurrent parotid swelling secondary to masseter muscle hypertrophy: a multidisciplinary diagnostic and therapeutic approach

Capaccio, Pasquale; Gaffuri, Michele; Assandri, Fausto; Pereira, Pollyanna Dornelas; Farronato, Giampietro

doi:10.1080/08869634.2016.1142694

Cited by 7 publications

(8 citation statements)

References 25 publications

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“…The occurrence of SGP associated with a narrow parotid duct caused by an acute masseter curvature and dysfunctional relation with the buccinator muscle has been described. In these cases, patients usually experience painful unilateral inflammation, recurrent and sudden in the parotid region, mainly during meals and mastication, especially in the morning (Capaccio et al, 2016).…”

Section: Noninfectious Inflammatory Disordersmentioning

confidence: 99%

Characterization of Salivary Gland Pain: A Review of the Literature

Mancilla,

Iturriaga,

Muñoz

et al. 2023

Int. J. Morphol.

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The salivary glands in pathological conditions produce countless different clinical presentations, and due to their complex neuroanatomy, their pain symptoms vary widely. However, in the literature to date, few studies characterize salivary gland pain. The aim of this study was to conduct a literature review concerning the clinical characteristics of pain in various salivary gland pathologies. A literature review was done through a systematic search of scientific articles in the Web of Science (WoS), MEDLINE, Scopus, and Elton B. Stephens Company (EBSCO) databases. The free terms "salivary gland", "parotid gland", "submaxillary gland", "sublingual gland", and "pain" were used along with the Boolean operators OR and AND. The search yielded a total of 1896 articles, of which 60 fulfilled the inclusion criteria and were ultimately included in this review. It is described that pain is a nonspecific symptom of a glandular pathology and is characterized mainly by the location of the pain, which is correlated with the anatomical location of the affected salivary gland. Among the painful salivary gland pathologies, we found inflammatory disorders, including infections, obstructions, disorders secondary to hyposalivation; systemic autoimmune diseases; neoplasms, and neuropathic pain disorders. The diagnosis and management of salivary gland pain require knowledge of the causes and mechanisms of the pain, and it is to recognize the signs and symptoms of salivary gland disorders to be able to diagnose and treat them.

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Section: Noninfectious Inflammatory Disordersmentioning

confidence: 99%

Characterization of Salivary Gland Pain: A Review of the Literature

Mancilla,

Iturriaga,

Muñoz

et al. 2023

Int. J. Morphol.

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“…Maseterina con Inflamación Parotídea Recurrente, esta parotiditis crónica secundaria se ha asociado a un estrechamiento y compresión del conducto de Stenon debido a torceduras por el agrandamiento e hipertrofia masetérica (19,20,21).…”

Section: Existen Reportes Actuales Que Asocian La Hipertrofiaunclassified

Hipertrofia Del Músculo Masetero, Una Revisión Del Escenario Contemporáneo Actual

Zorrilla¹,

Choque²,

Chura³

2018

EOC

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El objetivo del presente trabajo fue describir la hipertrofia del músculo masetero en relación a su etiología, características, incidencia, ayudas imagenológicas, diagnóstico, diagnóstico diferencial y alternativas de tratamiento. La hipertrofia del masetero es un trastorno de crecimiento muscular idiopático del músculo masetero que afecta no solo la simetría facial y la estética en los pacientes, sino que también afecta en algunos casos la función masticatoria. La hiperplasia del músculo masetero es una alteración benigna de crecimiento unilateral o bilateral, que afecta a la estética del paciente, está relacionado a diversas causas, predominante en la tercera década de vida, sin preferencias por el sexo masculino o femenino. El diagnóstico viene determinado por la historia clínica, el examen físico y el ultrasonido. El tratamiento puede ser de dos tipos, el tratamiento conservador y el tratamiento quirúrgico.

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“…Recurrent parotitis is mainly caused by sialolithiasis, strictures and salivary duct anomalies, immune and autoimmune disorders, ab estrinseco compression by lymphadenitis or masseter muscle hypertrophy [ 1 , 2 ]. Stensen’s duct leaves the gland from its antero-superior border, crosses over the masseter muscle and then pierces at almost a right angle the buccal fat pad, the buccopharyngeal fascia and the buccinator muscle to open into the oral cavity [ 2 – 4 ]; the fibres of the buccinator muscle wrap Stensen’s duct wall to participate in its peristaltic contraction, thus favouring the flushing out of saliva [ 3 ]. Enlargement of the masseter muscle may cause pathological kinking of the parotid duct leading to sialadenitis [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Stensen’s duct leaves the gland from its antero-superior border, crosses over the masseter muscle and then pierces at almost a right angle the buccal fat pad, the buccopharyngeal fascia and the buccinator muscle to open into the oral cavity [ 2 – 4 ]; the fibres of the buccinator muscle wrap Stensen’s duct wall to participate in its peristaltic contraction, thus favouring the flushing out of saliva [ 3 ]. Enlargement of the masseter muscle may cause pathological kinking of the parotid duct leading to sialadenitis [ 4 ]. Different techniques have been proposed for the evaluation of recurrent parotitis, both radiological, such as sialography and MR sialography, and non-radiological such as sialendoscopy.…”

Section: Introductionmentioning

confidence: 99%

MR sialographic assessment of the masseter muscle and the ductal kinking in patients with recurrent parotitis

Capaccio,

Lazzeroni,

Lo Russo

et al. 2024

Radiol med

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Dysfunction of the masseter muscle may cause pathological kinking of the parotid duct leading to parotitis; MR sialography is a non-invasive radiological examination that allows to evaluate dynamically the ductal system of the parotid glands. In the present study we aimed to assess the relationships between Stensen’s duct and masseter muscle and their implications in the aetiopathogenesis of recurrent parotitis secondary to masseter muscle dysfunction. Forty-one patients with recurrent unilateral parotitis and nine with bilateral recurrent parotitis, all with a clinical suspicious of masseter muscle hypertrophy due to bruxism were enrolled. They underwent ultrasonography as a first line examination and then MR sialography and sialendoscopy. Different anatomical features were studied. Involved parotid glands had a wider duct compared to contralateral unaffected parotid glands of patients with recurrent parotitis (p = 0.00134); male subjects with parotitis had a longer duct compared to the salivary glands of healthy patients (p = 0.00943 for affected glands and p = 0.00629 for the contralateral). A concordance between the evidence of an acute duct angle during sialendoscopy and a wider duct in patients with parotitis was observed although not statistically significant. These initial findings suggest that the masticatory muscle dysfunction related to bruxism seems to condition alteration of parotid duct course and anatomy thus favouring the occurrence of recurrent parotitis. A specific diagnostic iter based on clinical evaluation, dynamic ultrasonography and MR sialography, is therefore, mandatory to confirm the relationship between masseter muscle anatomy and parotid duct anomalies; this is the premise for an adequate therapeutic approach to underlying masticatory muscle disorder.

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Recurrent parotid swelling secondary to masseter muscle hypertrophy: a multidisciplinary diagnostic and therapeutic approach

Abstract: 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.

Cited by 7 publications

References 25 publications

Characterization of Salivary Gland Pain: A Review of the Literature

Characterization of Salivary Gland Pain: A Review of the Literature

Hipertrofia Del Músculo Masetero, Una Revisión Del Escenario Contemporáneo Actual

MR sialographic assessment of the masseter muscle and the ductal kinking in patients with recurrent parotitis

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