Myositis Ossificans Traumatica of the Temporal Muscle Treated by Bilateral Coronoidectomy and Aggressive Physiotherapy: A Case Report
| Autor: | Juliana Reuter Pereira, Ricardo Augusto Gonçalves Pierri, Andressa Bolognesi Bachesk, Liogi Iwaki Filho |
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| Rok vydání: | 2021 |
| Předmět: |
Myositis ossificans traumatica
medicine.medical_specialty business.industry Myofunctional Therapy Soft tissue 030206 dentistry General Medicine Myositis ossificans medicine.disease Temporal muscle Surgery Conservative treatment 03 medical and health sciences 0302 clinical medicine Medicine 030223 otorhinolaryngology business Mastication |
| Zdroj: | Craniomaxillofacial Trauma & Reconstruction Open. 6:247275122098603 |
| ISSN: | 2472-7512 |
| Popis: | Myositis Ossificans Traumatica (MOT) is a rare condition that affects soft tissues after a trauma and hardly affects the mastication muscles. The occurrence in the temporal muscle is uncommon, and trismus is the most prevalent symptom. The diagnosis of the pathology is sufficiently obtained through the collection of clinical history, physical and imaging exams. Differential diagnosis is important mainly to rule out more aggressive diseases, such as osteosarcoma. Treatment becomes more invasive as the ossification matures, and resection of structures adjacent to the tumor, such as coronoidectomy, is well indicated for promoting good results on the mouth opening amplitude. However, to maintain this amplitude, aggressive myofunctional therapy is required. Nevertheless, the literature has no well-defined protocol for this physiotherapy. Therefore, this article reports a rare case of MOT in the temporal muscle that was treated conservatively, with bilateral coronoidectomy and mouth opening physiotherapy, and obtained a satisfactory result. Consequently, it also presents a suggestion of a postoperative physiotherapy protocol. |
| Databáze: | OpenAIRE |
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