{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:35:14Z","timestamp":1777426514670,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>Obstructive sialadenitis may be associated with acute angulation at the masseteric bend of Stensen\u2019s duct previously reported to be associated with masseter enlargement. We report the case of a 44-year-old male who presented with intermittent left parotid pain and swelling without identifiable etiology on ultrasound and computed tomography imaging but with sialography notable for an acute masseteric bend in Stensen\u2019s duct. Fluoroscopic imaging on removal of the sialogram catheter demonstrated straightening of the masseteric bend, prompting patient education toward similar straightening of the duct with anterior traction to the cheek to facilitate parotid massage. Interval evaluations up to 4\u2009months later identified a consistent response to this maneuver to prevent the previously experienced episodes of salivary gland swelling and pain. This maneuver, termed the \u201cMolotkova Maneuver\u201d offers an adjunct to standard parotid massage as a conservative management strategy to improve parotid drainage for select patients.<\/jats:p>","DOI":"10.1177\/00034894251393110","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:19:16Z","timestamp":1764137956000},"page":"319-322","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Parotid Massage Facilitated by Straightening Stensen\u2019s Duct"],"prefix":"10.1177","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4795-7458","authenticated-orcid":false,"given":"Evgeniya","family":"Molotkova","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Maley","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4486-855X","authenticated-orcid":false,"given":"Henry","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000334246"},{"key":"e_1_3_2_3_2","article-title":"Masseter and medial pterygoid muscle hypertrophy","volume":"2011","author":"Guruprasad R","year":"2011","unstructured":"Guruprasad R, Rishi S, Nair PP, Thomas S. Masseter and medial pterygoid muscle hypertrophy. BMJ Case Rep. 2011;2011.","journal-title":"BMJ Case Rep"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.1998.tb01983.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24211"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/01455613241272451"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894251393110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894251393110","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894251393110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:31:32Z","timestamp":1777375892000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894251393110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,25]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/00034894251393110"],"URL":"https:\/\/doi.org\/10.1177\/00034894251393110","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,25]]}}}