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<p>“Mylohyoid boutonnière” is a frequently seen defect in the mid-part of the mylohyoid muscle. Infrequently, when large, this defect may lead to herniation of sublingual glands, which may present clinically as a neck mass. We present the case of a 50-year-old lady with slowly increasing neck swelling, with repeated inconclusive results from palpation-guided fine needle aspiration cytology, where radiological imaging provided definite evidence of a mylohyoid defect with sublingual gland herniation. Knowledge of this pseudo lesion is important, as early imaging in such cases can help avoid unnecessary patient anxiety and invasive sampling.</p>

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Case Report: Sublingual Gland Herniation—A Pseudo Lesion in the Submandibular Space

  • 期刊论文

  • 发表日期：

    2025年4月28日

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  • Sanchita Gupta,
  • Smita Manchanda,
  • Ashu Seith Bhalla

摘要

“Mylohyoid boutonnière” is a frequently seen defect in the mid-part of the mylohyoid muscle. Infrequently, when large, this defect may lead to herniation of sublingual glands, which may present clinically as a neck mass. We present the case of a 50-year-old lady with slowly increasing neck swelling, with repeated inconclusive results from palpation-guided fine needle aspiration cytology, where radiological imaging provided definite evidence of a mylohyoid defect with sublingual gland herniation. Knowledge of this pseudo lesion is important, as early imaging in such cases can help avoid unnecessary patient anxiety and invasive sampling.