1. A rare isolated unilateral myositis ossificans traumatica of the lateral pterygoid muscle: a case report
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Fabio Maglitto, Guido Moscato, Emanuele Broccardo, Pasquale Piombino, Alessia Spinzia, Giovanni Dell'Aversana Orabona, Lara Castelletti, Spinzia, Alessia, Moscato, Guido, Broccardo, Emanuele, Castelletti, Lara, Maglitto, Fabio, Orabona, Giovanni Dell'Aversana, Piombino, Pasquale, Spinzia, A, Moscato, G, Broccardo, E, Castelletti, L, Maglitto, F, DELL'AVERSANA ORABONA, Giovanni, and Piombino, P.
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Adult ,Male ,Myositis Ossifican ,Myositis ossificans traumatica ,medicine.medical_specialty ,Lateral pterygoid muscle ,Physiotherapy treatment ,Case Report ,Trismus ,Temporo mandibular joint disorders ,Pterygoid Muscle ,stomatognathic system ,Temporo mandibular joint disorder ,Physical Therapy Modalitie ,medicine ,Humans ,Pathological ,Physical Therapy Modalities ,Trismu ,Medicine(all) ,Skull Fractures ,business.industry ,Medicine (all) ,Pterygoid Muscles ,General Medicine ,Myositis ossificans ,medicine.disease ,Surgery ,Skull Fracture ,Myositis Ossificans ,medicine.symptom ,Complication ,business ,Tomography, X-Ray Computed ,Calcification ,Human - Abstract
Introduction. Myositis ossificans traumatica is a pathological condition characterized by the extraskeletal formation of bony tissue, induced by violent or repeated trauma. Case presentation. A 30-year-old Italian man, after surgical treatment for multiple facial fractures, presented with a progressive limitation of mouth opening. A computed tomography scan showed a significant calcification of the fibers of the left lateral pterygoid muscle. The working diagnosis was myositis ossificans traumatica of the left lateral pterygoid muscle. Surgical excision was suggested but not performed. Our patient underwent physiotherapy treatment resulting not in a complete restoration of mandibular movements but in an acceptable recovery of mouth opening. Conclusions: Myositis ossificans is a rare complication that can be caused by muscle trauma. Therefore, special attention should be paid to surgical trauma. In the present case, surgical excision was considered, in accordance with the literature, and suggested to our patient, but he declined due to the absence of any pain or any significant limitation to his daily life activities. He therefore underwent physiotherapy treatment, in line with our unit's guidelines, resulting not in a complete restoration of mandibular movements but in an acceptable recovery of mouth opening. © 2014 Spinzia et al.; licensee BioMed Central Ltd.
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