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A case of dystrophic calcification in the masseter muscle

Maxillofacial Plastic and Reconstructive Surgery 2017³â 39±Ç 1È£ p.30 ~ 30
±èÇ念, ¹ÚÁ¤Çö, ÀÌÁعü, ±è¼±Á¾,
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±èÇ念 ( Kim Heon-Young ) - Ewha Womans University Mokdong Hospital Department of Oral and Maxillofacial Surgery
¹ÚÁ¤Çö ( Park Jung-Hyun ) - Ewha Womans University Mokdong Hospital Department of Oral and Maxillofacial Surgery
ÀÌÁعü ( Lee Jun-Bum ) - Ewha Womans University Mokdong Hospital Department of Oral and Maxillofacial Surgery
±è¼±Á¾ ( Kim Sun-Jong ) - Ewha Womans University Mokdong Hospital Department of Oral and Maxillofacial Surgery

Abstract


Background: Dystrophic calcification can occur in any soft tissue with the absence of a systemic mineral imbalance and is often associated with trauma, infection, or inflammation. It is easily found in the site of the heart and skeletal muscles and rarely appears in the head and neck area.

Case report: We present a rare case of multiple calcified masses in the left masseter muscle of a 26-year-old female with a history of trauma in the area. In computed tomography, multiple radiopaque masses were observed inside the left masseter muscle and blood test results were normal. The calcified masses were diagnosed as dystrophic calcification and removed by surgery without any complications.

Conclusion: Different types of calcifications may occur in the cheek area, and they need to be distinguished from dystrophic calcification. Thorough clinical examination and history taking is required together with blood testing and radiographic examinations.

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Masseter muscle; Dystrophic calcification; Pathologic soft tissue calcification; Trauma

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