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Bilateral submandibular gland aplasia with clinico-radiological mass due to prolapsing sublingual salivary tissue through mylohyoid boutonnière: a case report and review

¹Department of Radiology, Louis Stokes VA Medical Center, Cleveland, OH, USA; ²Department of Otorhinolaryngology, Louis Stokes VA Medical Center, Cleveland, OH, USA

*Correspondence to: 10701 East Boulevard, Louis Stokes VA Medical Center, Radiology Department R/No. G23, Cleveland, OH 44141, USA. E-mail: manzoor.ahmed{at}med.va.gov; ahmedm2{at}ccf.org

Received 30 September 2007; revised 25 February 2008; accepted 30 March 2008

Aplasia of major salivary glands is very rare. Compensatory hypertrophy of the rest of the glands can result in clinico-radiological masses. We present a report of a rare case of non-syndromic bilateral submandibular gland aplasia with hypertrophied sublingual salivary tissue, the latter herniating through mylohyoid boutonnière to present as a palpable mass on the left side with corresponding CT findings. Multiplanar evaluation is emphasised by utilizing multidetector CT.

Keywords: submandibular, aplasia, mylohyoid, boutonnière, multidetector computed tomography