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Infected sialocele: complication in masseter reduction using radiofrequency coagulation

Authors
Lim, H; Lee, IJ; Kim, JH; Park, MC
Citation
The Journal of craniofacial surgery, 23(3):e261-e262, 2012
Journal Title
The Journal of craniofacial surgery
ISSN
1049-22751536-3732
Abstract
Radiofrequency coagulation was introduced to reduce the volume of masseter muscle. Radiofrequency procedure causes focal necrosis in masseter muscles, which leads to muscle hypoplasia and a slender lower face. We present a case of a 24-year-old woman who underwent radiofrequency coagulation to reduce masseter muscles. The patient experienced progressive erythematous swelling and noticed the mass around the right cheek 5 days after the procedure. On radiologic evaluation, a round cavity of 4-cm diameter containing air and fluid was observed. Incision and drainage was performed, and antibiotics were administrated intravenously. Blood-tinged purulent fluid was obtained, which was subsequently found to have a high amylase level. The swelling subsided, and there is no relapse up to 6 months after drainage. There are several complications of radiofrequency coagulation reported such as mucoserous fluid collections, late bleeding, infections, long-lasting pain, Stensen duct injury, facial nerve injuries, and limitation of temporomandibular joint movement. A well-designed operation plan and skilled technique are required to avoid these complications.
MeSH terms
Anti-Bacterial Agents/therapeutic useDrainageEstheticsFemaleHumansMasseter Muscle/abnormalities/*surgeryPostoperative Complications/*diagnosis/*therapyRadio WavesRepublic of KoreaSalivary Gland Diseases/*diagnosis/*therapyYoung Adult
DOI
10.1097/SCS.0b013e31825189f6
PMID
22627453
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Plastic & Reconstructive Surgery
AJOU Authors
이, 일재박, 명철
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