Lesions in the parotidomasseteric domain: A plethora of diversity

Context: Swellings in parotidomasseteric region are one of the most intriguing and challenging lesions in the head and neck. Diverse array of diagnosis, striking clinical similarities between different pathologies and anatomical complexity of this region make parotidomasseteric lesions unique. Aims: This article aims to provide a detailed description of various pathologies associated, the diagnostic challenges posed, and the respective management strategies. Settings and Design: The study design involves retrospective observational. Subjects and Methods: Sixteen rare cases of various parotidomasseteric pathologies were reviewed to delineate clinical presentation and characteristic features in diagnostic investigations and subsequent treatment strategies. Statistical Analysis Used: Not applicable. Results: The analysis showed that lesions in the parotidomasseteric region can be categorized into specific entities with distinct but often overlapping clinical features. Given the location and anatomy of the parotidomasseteric region, these lesions can often remain indolent Investigations are fruitful to some extent in determining the expanse of these lesions, however, remain inconclusive in diagnosing the origin and their true nature. Conclusions: The authors conclude that a systematic approach to the diagnosis of a parotidomasseteric lesion is of utmost importance because the differential diagnosis is prodigious. These lesions can be considered very deceptive, demanding surgical intervention and their excision. With the exception of surgical exploration, physical examination remains the most indispensable tool. Hence, a better classification system which determines the treatment required for a particular parotidomasseteric lesion and which correlates the clinical findings with the preoperative investigations will be more beneficial for the operating surgeon.