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Clinical Challenge
June 2017

Trismus and Swelling on the Side of the Face

Author Affiliations
  • 1Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
  • 2Department of Oral Oncology and Reconstruction, Lenox Hill Hospital, New York, New York
  • 3Division of Otolaryngology Head & Neck Surgery, The New York Head & Neck Institute, Northwell Health, New York
  • 4Departments of Radiology and Otolaryngology, Lenox Hill Hospital, New York, New York
JAMA Otolaryngol Head Neck Surg. 2017;143(6):627-628. doi:10.1001/jamaoto.2016.3700

A woman in her 60s presented with mild to moderate trismus and swelling on the left side of the face of a few months’ duration. Her medical history was significant for herpes zoster and self-limited vertigo approximately 3 years prior. Her physical examination was remarkable for left-sided facial swelling. No deficits of the facial or trigeminal nerves were detected. Magnetic resonance imaging (MRI) was performed (Figure).

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