Intramuscular vascular malformation of the masseter muscle presenting with turkey wattle sign

Intramuscular vascular malformations are unusual tumors in the head and neck region. Less than 1% of vasoformative tumors throughout the body occur in skeletal muscle; 15% of them arise in head and neck musculature. Masseter muscle is the most frequent site for such vascular malformations; it accounts for approximately 5% of all intramuscular vascular malformations in the head and neck region. A case of unusual intramuscular vascular malformation of masseter muscle is described and the diagnosis and management of these tumors is discussed.