Masseter muscle hypertrophy: Report of case and literature review
Benign masseteric hypertrophy is a relatively uncommon condition that can occur unilaterally or bilaterally. Pain may be a symptom, but most frequently the clinician is consulted for cosmetic reasons. In some cases prominent exostoses at the angle of the mandible are noted. Although it is tempting t...
Saved in:
Published in | Journal of oral and maxillofacial surgery Vol. 52; no. 11; pp. 1199 - 1202 |
---|---|
Main Author | |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.11.1994
Elsevier |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Benign masseteric hypertrophy is a relatively uncommon condition that can occur unilaterally or bilaterally. Pain may be a symptom, but most frequently the clinician is consulted for cosmetic reasons. In some cases prominent exostoses at the angle of the mandible are noted. Although it is tempting to point to malocclusion, bruxism, clenching, or temporomandibular joint disorders, the etiology in the majority of cases is unclear.
Diagnosis is based on awareness of the condition, clinical and radiographic findings, and exclusion of more serious pathology such as benign and malignant parotid disease, rhabdomyoma, and lymphangioma. Treatment usually involves resection of a portion of the masseter muscle with or without the underlying bone.
1 |
---|---|
AbstractList | Benign masseteric hypertrophy is a relatively uncommon condition that can occur unilaterally or bilaterally. Pain may be a symptom, but most frequently the clinician is consulted for cosmetic reasons. In some cases prominent exostoses at the angle of the mandible are noted. Although it is tempting to point to malocclusion, bruxism, clenching, or temporomandibular joint disorders, the etiology in the majority of cases is unclear.
Diagnosis is based on awareness of the condition, clinical and radiographic findings, and exclusion of more serious pathology such as benign and malignant parotid disease, rhabdomyoma, and lymphangioma. Treatment usually involves resection of a portion of the masseter muscle with or without the underlying bone.
1 |
Author | Addante, Rocco R. |
Author_xml | – sequence: 1 givenname: Rocco R. surname: Addante fullname: Addante, Rocco R. |
BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3324290$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/7755698$$D View this record in MEDLINE/PubMed |
BookMark | eNp9kEtLAzEUhYNUalv9BwqzENHFaB6TZOJCKMUXVATRdUgzd-jIvExmlP57M7Z06eouzncPh2-KRnVTA0KnBF8TTMQNpjKNKVPkUiVXCvNExPgATQhnJOaYsxGa7JEjNPX-E2NCuBRjNJaSc6HSCZq_GO-hAxdVvbclROtNC65zTbve3EZv0Daui5o8ssZDZOosKosAm653EDn4LuDnGB3mpvRwsrsz9PFw_754ipevj8-L-TK2LBVdzDOaqlwqCENpGnZgwwgndLXiAmOQOFEmZGE8sZkAoyjDkEuCGSNpLjiboYttb-uarx58p6vCWyhLU0PTey1FSiVnSQCTLWhd472DXLeuqIzbaIL1YE4PWvSgRatE_5nTOLyd7fr7VQXZ_mmnKuTnu9x4a8rcmdoWfo8xRhOqhpq7LQbBRfDjtLcF1BaywoHtdNYU_-_4BaEpiaY |
CODEN | JOMSDA |
CitedBy_id | crossref_primary_10_1007_s00266_004_0122_5 crossref_primary_10_1016_S0278_2391_99_90029_0 crossref_primary_10_3109_14764172_2015_1052518 crossref_primary_10_7759_cureus_52792 crossref_primary_10_1016_j_tripleo_2010_11_017 crossref_primary_10_1016_j_ajodo_2006_10_043 crossref_primary_10_5005_johcd_9_2_92 crossref_primary_10_1155_2018_7168472 crossref_primary_10_1007_s10006_005_0601_0 crossref_primary_10_1016_j_joms_2005_03_027 crossref_primary_10_12688_f1000research_140341_1 crossref_primary_10_18231_j_ijmi_2022_018 crossref_primary_10_1067_moe_2001_115983 crossref_primary_10_1055_s_0036_1592089 crossref_primary_10_1016_S0901_5027_98_80302_0 crossref_primary_10_3349_ymj_2014_55_4_1123 crossref_primary_10_1097_SCS_0b013e31824207a2 |
Cites_doi | 10.1001/archotol.1961.00740020019002 10.1001/archotol.1946.00680050619005 10.1016/S0007-1226(61)80025-8 10.1016/S0301-0503(86)80322-8 10.1016/S0278-2391(89)80054-0 10.1001/archotol.1959.00730040213009 10.1001/archsurg.1971.01350020025007 10.1016/0002-9610(47)90304-8 10.1016/S0301-0503(77)80072-6 |
ContentType | Journal Article |
Copyright | 1994 1995 INIST-CNRS |
Copyright_xml | – notice: 1994 – notice: 1995 INIST-CNRS |
DBID | IQODW CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 8BM |
DOI | 10.1016/0278-2391(94)90546-0 |
DatabaseName | Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic ComDisDome |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef ComDisDome MEDLINE - Academic |
DatabaseTitleList | |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Dentistry |
EISSN | 1531-5053 |
EndPage | 1202 |
ExternalDocumentID | 10_1016_0278_2391_94_90546_0 7755698 3324290 0278239194905460 |
Genre | Journal Article Review Case Reports |
GroupedDBID | --- --K .1- .55 .FO 0R~ 1B1 1CY 1P~ 1RT 1~5 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 AAEDT AAEDW AAGKA AAIAV AALRI AAQFI AAQQT AAQXK AAXUO ABLJU ABMAC ABOCM ACGFS ADBBV ADMUD ADPAM AENEX AEVXI AFFNX AFRHN AFTJW AGZHU AHHHB AHPSJ AITUG AJUYK ALMA_UNASSIGNED_HOLDINGS ALXNB AMRAJ ASPBG AVWKF AZFZN BELOY CAG COF CS3 DU5 EBS EJD EO8 F5P FDB FEDTE FGOYB FIRID G-2 G-Q GBLVA HDX HMK HMO HVGLF HZ~ IHE J1W K-O L7B M41 N4W N9A NQ- O9- OF. OQ0 P2P R2- RIG ROL RPZ SAE SDG SDP SEL SES SEW SJN SSZ UHS UV1 X7M XH2 Z5R ZGI ZXP 08R AAUGY AKALU IQODW AFCTW AFJKZ AKRWK CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 8BM |
ID | FETCH-LOGICAL-c386t-5d289f79e054281150a31512bb5600e7049ae055311cd6ea9230ef7103318f653 |
ISSN | 0278-2391 |
IngestDate | Fri Aug 16 07:43:15 EDT 2024 Thu Sep 26 17:26:08 EDT 2024 Sat Sep 28 08:41:44 EDT 2024 Sun Oct 29 17:10:03 EDT 2023 Fri Feb 23 02:31:00 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 11 |
Keywords | Case study Human Stomatology Masseter muscle Bibliographic review Hypertrophy |
Language | English |
License | CC BY 4.0 |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c386t-5d289f79e054281150a31512bb5600e7049ae055311cd6ea9230ef7103318f653 |
Notes | ObjectType-Case Study-3 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4 |
PMID | 7755698 |
PQID | 76827534 |
PQPubID | 23479 |
PageCount | 4 |
ParticipantIDs | proquest_miscellaneous_76827534 crossref_primary_10_1016_0278_2391_94_90546_0 pubmed_primary_7755698 pascalfrancis_primary_3324290 elsevier_sciencedirect_doi_10_1016_0278_2391_94_90546_0 |
PublicationCentury | 1900 |
PublicationDate | 1994-11-01 |
PublicationDateYYYYMMDD | 1994-11-01 |
PublicationDate_xml | – month: 11 year: 1994 text: 1994-11-01 day: 01 |
PublicationDecade | 1990 |
PublicationPlace | New York, NY |
PublicationPlace_xml | – name: New York, NY – name: United States |
PublicationTitle | Journal of oral and maxillofacial surgery |
PublicationTitleAlternate | J Oral Maxillofac Surg |
PublicationYear | 1994 |
Publisher | Elsevier Inc Elsevier |
Publisher_xml | – name: Elsevier Inc – name: Elsevier |
References | Gugenheim, Cohen (BIB19) 1959; 73 Waldhart, Lynch (BIB18) 1971; 102 Ginestet, Frezieres, Merville (BIB10) 1959; 4 Dencer (BIB9) 1961; 14 Coffey (BIB5) 1942; 11 Chee, Fei (BIB14) 1989; 47 Gurney (BIB7) 1947; 73 Boldt (BIB4) 1930 Converse (BIB12) 1964; vol 2 Ristow (BIB16) 1967; 46 Duroux (BIB3) 1905; 104 Perko (BIB11) 1963; 4 Oppenheim, Wing (BIB15) 1959; 70 Legg (BIB2) 1880; 31 Adams (BIB8) 1949; 2 (BIB1) 1990; vol 2 Beckers (BIB13) 1977; 5 Roncevic (BIB17) 1986; 14 Hersch (BIB6) 1946; 43 7699513 - J Oral Maxillofac Surg. 1995 Apr;53(4):492 Perko (10.1016/0278-2391(94)90546-0_BIB11) 1963; 4 Gugenheim (10.1016/0278-2391(94)90546-0_BIB19) 1959; 73 Ginestet (10.1016/0278-2391(94)90546-0_BIB10) 1959; 4 Roncevic (10.1016/0278-2391(94)90546-0_BIB17) 1986; 14 (10.1016/0278-2391(94)90546-0_BIB1) 1990; vol 2 Hersch (10.1016/0278-2391(94)90546-0_BIB6) 1946; 43 Oppenheim (10.1016/0278-2391(94)90546-0_BIB15) 1959; 70 Gurney (10.1016/0278-2391(94)90546-0_BIB7) 1947; 73 Beckers (10.1016/0278-2391(94)90546-0_BIB13) 1977; 5 Duroux (10.1016/0278-2391(94)90546-0_BIB3) 1905; 104 Coffey (10.1016/0278-2391(94)90546-0_BIB5) 1942; 11 Dencer (10.1016/0278-2391(94)90546-0_BIB9) 1961; 14 Ristow (10.1016/0278-2391(94)90546-0_BIB16) 1967; 46 Waldhart (10.1016/0278-2391(94)90546-0_BIB18) 1971; 102 Chee (10.1016/0278-2391(94)90546-0_BIB14) 1989; 47 Legg (10.1016/0278-2391(94)90546-0_BIB2) 1880; 31 Adams (10.1016/0278-2391(94)90546-0_BIB8) 1949; 2 Boldt (10.1016/0278-2391(94)90546-0_BIB4) 1930 Converse (10.1016/0278-2391(94)90546-0_BIB12) 1964; vol 2 |
References_xml | – volume: 104 start-page: 1355 year: 1905 ident: BIB3 article-title: Hypertrophie musculaire bilaterale de masseters publication-title: Lyon Med contributor: fullname: Duroux – volume: vol 2 start-page: 1404 year: 1964 end-page: 1405 ident: BIB12 publication-title: Reconstructive Plastic Surgery contributor: fullname: Converse – volume: 14 start-page: 344 year: 1986 ident: BIB17 article-title: Masseter muscle hypertrophy. Aetiology and therapy publication-title: J Maxillofac Surg contributor: fullname: Roncevic – volume: 102 start-page: 115 year: 1971 ident: BIB18 article-title: Benign hypertrophy of the masseter muscles and mandibular angles publication-title: Arch Surg contributor: fullname: Lynch – volume: 73 start-page: 15 year: 1959 ident: BIB19 article-title: The nature of masseteric hypertrophy publication-title: Arch Otolaryngol contributor: fullname: Cohen – volume: 14 start-page: 149 year: 1961 ident: BIB9 article-title: Bilateral idiopathic masseteric hypertrophy publication-title: Br J Plast Surg contributor: fullname: Dencer – volume: 4 start-page: 787 year: 1959 ident: BIB10 article-title: La correction chirurgicale de l'hypertrophie du masseter publication-title: Ann Chir Plast contributor: fullname: Merville – volume: 73 start-page: 137 year: 1947 ident: BIB7 article-title: Chronic bilateral benign hypertrophy of the masseter muscle publication-title: Am Surg contributor: fullname: Gurney – year: 1930 ident: BIB4 article-title: Ein Beitrag zer Kenntnis der einfachen Masseterhypertrophie mit einigen Faellen publication-title: Thesis contributor: fullname: Boldt – volume: 4 start-page: 35 year: 1963 ident: BIB11 article-title: Hipertrofija masetera publication-title: Chir Maxillofac Plast contributor: fullname: Perko – volume: 31 start-page: 361 year: 1880 ident: BIB2 article-title: Enlargement of the temporal and masseter muscles on both sides publication-title: Trans Pathol Soc London contributor: fullname: Legg – volume: 2 start-page: 78 year: 1949 ident: BIB8 article-title: Bilateral hypertrophy of the masseter muscle: An operation for correction publication-title: Br J Plast Surg contributor: fullname: Adams – volume: 47 start-page: 883 year: 1989 ident: BIB14 article-title: Surgical correction of masseter muscle hypertrophy by an intraoral approach publication-title: J Oral Maxillofac Surg contributor: fullname: Fei – volume: 70 start-page: 207 year: 1959 ident: BIB15 article-title: Benign hypertrophy of masseter muscle publication-title: Arch Otolaryngol contributor: fullname: Wing – volume: 5 start-page: 28 year: 1977 ident: BIB13 article-title: Masseteric muscle hypertrophy and its intraoral surgical correction publication-title: J Maxillofac Surg contributor: fullname: Beckers – volume: vol 2 start-page: 1301 year: 1990 end-page: 1305 ident: BIB1 publication-title: Plastic Surgery – volume: 43 start-page: 593 year: 1946 ident: BIB6 article-title: Hypertrophy of masseter muscle publication-title: Arch Otolaryngol contributor: fullname: Hersch – volume: 11 start-page: 815 year: 1942 ident: BIB5 article-title: Unilateral hypertrophy of the masseter muscle publication-title: Surgery contributor: fullname: Coffey – volume: 46 start-page: 30 year: 1967 ident: BIB16 article-title: Transorale Neuround Arteriotomie zur behandlung der masseter-hypertrophie publication-title: Z Laryngol Rhinol contributor: fullname: Ristow – volume: 31 start-page: 361 year: 1880 ident: 10.1016/0278-2391(94)90546-0_BIB2 article-title: Enlargement of the temporal and masseter muscles on both sides publication-title: Trans Pathol Soc London contributor: fullname: Legg – volume: 73 start-page: 15 year: 1959 ident: 10.1016/0278-2391(94)90546-0_BIB19 article-title: The nature of masseteric hypertrophy publication-title: Arch Otolaryngol doi: 10.1001/archotol.1961.00740020019002 contributor: fullname: Gugenheim – volume: 43 start-page: 593 year: 1946 ident: 10.1016/0278-2391(94)90546-0_BIB6 article-title: Hypertrophy of masseter muscle publication-title: Arch Otolaryngol doi: 10.1001/archotol.1946.00680050619005 contributor: fullname: Hersch – volume: 2 start-page: 78 year: 1949 ident: 10.1016/0278-2391(94)90546-0_BIB8 article-title: Bilateral hypertrophy of the masseter muscle: An operation for correction publication-title: Br J Plast Surg contributor: fullname: Adams – volume: 46 start-page: 30 year: 1967 ident: 10.1016/0278-2391(94)90546-0_BIB16 article-title: Transorale Neuround Arteriotomie zur behandlung der masseter-hypertrophie publication-title: Z Laryngol Rhinol contributor: fullname: Ristow – issue: No. 31 year: 1930 ident: 10.1016/0278-2391(94)90546-0_BIB4 article-title: Ein Beitrag zer Kenntnis der einfachen Masseterhypertrophie mit einigen Faellen publication-title: Thesis contributor: fullname: Boldt – volume: vol 2 start-page: 1404 year: 1964 ident: 10.1016/0278-2391(94)90546-0_BIB12 contributor: fullname: Converse – volume: 104 start-page: 1355 year: 1905 ident: 10.1016/0278-2391(94)90546-0_BIB3 article-title: Hypertrophie musculaire bilaterale de masseters publication-title: Lyon Med contributor: fullname: Duroux – volume: 14 start-page: 149 year: 1961 ident: 10.1016/0278-2391(94)90546-0_BIB9 article-title: Bilateral idiopathic masseteric hypertrophy publication-title: Br J Plast Surg doi: 10.1016/S0007-1226(61)80025-8 contributor: fullname: Dencer – volume: 14 start-page: 344 year: 1986 ident: 10.1016/0278-2391(94)90546-0_BIB17 article-title: Masseter muscle hypertrophy. Aetiology and therapy publication-title: J Maxillofac Surg doi: 10.1016/S0301-0503(86)80322-8 contributor: fullname: Roncevic – volume: 47 start-page: 883 year: 1989 ident: 10.1016/0278-2391(94)90546-0_BIB14 article-title: Surgical correction of masseter muscle hypertrophy by an intraoral approach publication-title: J Oral Maxillofac Surg doi: 10.1016/S0278-2391(89)80054-0 contributor: fullname: Chee – volume: 70 start-page: 207 year: 1959 ident: 10.1016/0278-2391(94)90546-0_BIB15 article-title: Benign hypertrophy of masseter muscle publication-title: Arch Otolaryngol doi: 10.1001/archotol.1959.00730040213009 contributor: fullname: Oppenheim – volume: 102 start-page: 115 year: 1971 ident: 10.1016/0278-2391(94)90546-0_BIB18 article-title: Benign hypertrophy of the masseter muscles and mandibular angles publication-title: Arch Surg doi: 10.1001/archsurg.1971.01350020025007 contributor: fullname: Waldhart – volume: 4 start-page: 787 year: 1959 ident: 10.1016/0278-2391(94)90546-0_BIB10 article-title: La correction chirurgicale de l'hypertrophie du masseter publication-title: Ann Chir Plast contributor: fullname: Ginestet – volume: 73 start-page: 137 year: 1947 ident: 10.1016/0278-2391(94)90546-0_BIB7 article-title: Chronic bilateral benign hypertrophy of the masseter muscle publication-title: Am Surg doi: 10.1016/0002-9610(47)90304-8 contributor: fullname: Gurney – volume: 4 start-page: 35 year: 1963 ident: 10.1016/0278-2391(94)90546-0_BIB11 article-title: Hipertrofija masetera publication-title: Chir Maxillofac Plast contributor: fullname: Perko – volume: 5 start-page: 28 year: 1977 ident: 10.1016/0278-2391(94)90546-0_BIB13 article-title: Masseteric muscle hypertrophy and its intraoral surgical correction publication-title: J Maxillofac Surg doi: 10.1016/S0301-0503(77)80072-6 contributor: fullname: Beckers – volume: 11 start-page: 815 year: 1942 ident: 10.1016/0278-2391(94)90546-0_BIB5 article-title: Unilateral hypertrophy of the masseter muscle publication-title: Surgery contributor: fullname: Coffey – volume: vol 2 start-page: 1301 year: 1990 ident: 10.1016/0278-2391(94)90546-0_BIB1 |
SSID | ssj0011576 |
Score | 1.5519147 |
SecondaryResourceType | review_article |
Snippet | Benign masseteric hypertrophy is a relatively uncommon condition that can occur unilaterally or bilaterally. Pain may be a symptom, but most frequently the... |
SourceID | proquest crossref pubmed pascalfrancis elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 1199 |
SubjectTerms | Adult Biological and medical sciences Dentistry Facial bones, jaws, teeth, parodontium: diseases, semeiology Female Humans Hypertrophy - surgery Masseter Muscle - pathology Masseter Muscle - surgery Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology |
Title | Masseter muscle hypertrophy: Report of case and literature review |
URI | https://dx.doi.org/10.1016/0278-2391(94)90546-0 https://www.ncbi.nlm.nih.gov/pubmed/7755698 https://search.proquest.com/docview/76827534 |
Volume | 52 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFLZgewAJoXGZKLDhB5BAU1jtxLnwVo1NE7sgoVb0zYoTRyB1zdSmEuLX8_mSpIhVA16iyq4T5XzJ5-_4-OQQ8jpWuix5XgYRU0kQKcaCtOJFoOCLpSJRoSrM0sDFZXw6iT5NxbQvgmezSxr1vvh5Y17J_6CKNuBqsmT_AdnupGjAb-CLIxDG8a8wvoDyNdtZDq5WS3QdfINTuWgWtTEdPH0XD7AbxzFX2TDBrPuKsk9a2SBObd6-GXCV__g-m9VVbpfWl2tJ1DbIXxpgLEx-52HpM-oin0nX8wyHI8lDVzSrJUXB18FnaxTHmKto5KdLxm3G9J9U7FYFupNDL2fRGzP5iSgOhv3004bcLz_Lk8n5uRwfT8d3yTYHcYCxtkdnX76edXEhJmy5wO6sbTIkiw-7trdZ9M5fZZPYeHCdL_EKVK52yWbnwoqM8Q556AGgIwf1I3JHzx-Tex_Nji5TlO8JGbWQUwc5XYP8A3WA07qiBnAK_GgPOHWAPyWTk-Px0Wngq2AERZjGTSBKWK5KMo1b4qkR8HloZJpSRqzqBC5ejj5wKSvKWOdQ7ENdQTiGoOsqFuEu2ZrXc_2M0LQUulSQ4LnSEG4ABJyr8LcCRA9pOSBBay557T52IttdgMa80phXZpG05pXDAUlam0ov2JwQk3gIbhm59xsE3eVCI_Az9L9qIZHgOxPEyue6Xi0l3GMOFzsakF2HVDc0SYSIs_T5rUNfkPv9e_CSbDWLld6DtGzUvn_efgHWDXPs |
link.rule.ids | 315,783,787,27936,27937 |
linkProvider | Library Specific Holdings |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Masseter+muscle+hypertrophy%3A+report+of+case+and+literature+review&rft.jtitle=Journal+of+oral+and+maxillofacial+surgery&rft.au=Addante%2C+R+R&rft.date=1994-11-01&rft.issn=0278-2391&rft.volume=52&rft.issue=11&rft.spage=1199&rft.epage=1202&rft_id=info:doi/10.1016%2F0278-2391%2894%2990546-0&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0278-2391&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0278-2391&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0278-2391&client=summon |