Nishimura T, Okabe Y, Furukawa M
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, Japan.
Auris Nasus Larynx. 1996;23:140-2. doi: 10.1016/s0385-8146(96)80021-6.
We present a 62-year-old patient with a chronic organized abscess of the right masseter muscle that developed following parotidectomy. This patient's chronic abscess originated from an infection in the masticator space from the second molar. Cases of repeated parotitis should lead one to suspect a masticator space infection. In this case, the cicatricical masseter muscle produced severe trismus. Total eradication of the abscess and myotomy of the masseter resolved the problem completely. We should pay attention to the dental condition in case of masticator space infection, especially in case of masseter muscle infection mimicking parotitis.
我们报告一例62岁患者，其在腮腺切除术后出现右侧咬肌慢性机化性脓肿。该患者的慢性脓肿源于第二磨牙引起的咀嚼肌间隙感染。反复发生腮腺炎的病例应使人怀疑咀嚼肌间隙感染。在本病例中，瘢痕化的咬肌导致严重牙关紧闭。脓肿的彻底清除和咬肌切开术完全解决了问题。对于咀嚼肌间隙感染，尤其是对于类似腮腺炎的咬肌感染，我们应注意牙齿状况。
