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Clinical Problem Solving: Radiology
November 2001

Diagnosis Radiology Quiz Case 1

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Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Otolaryngol Head Neck Surg. 2001;127(11):1396. doi:

Bilateral masseteric (and temporalis) hypertrophy presents as a cosmetic problem and, as in the case reported herein, is often noticed only after a casual comment from another person. It typically presents between the ages of 15 and 25 years and has a slow and insidious development. It has been associated with chewing gum, stress, and bruxism. Unilateral cases have been associated with dental caries of the contralateral side. Such cases cause problems in diagnosis because they can mimick other diseases, such as parotid masses.

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