Spinzia Alessia, Moscato Guido, Broccardo Emanuele, Castelletti Lara, Maglitto Fabio, Orabona Giovanni Dell'Aversana, Piombino Pasquale
MaxilloFacial Surgery Unit, Department of Neurosciences and Reproductive and Odontostomatological Sciences, University of Naples 'Federico II', via Pansini, 5, 80131 Naples, Italy.
J Med Case Rep. 2014 Jun 26;8:230. doi: 10.1186/1752-1947-8-230.
Myositis ossificans traumatica is a pathological condition characterized by the extraskeletal formation of bony tissue, induced by violent or repeated trauma.
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.
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.
创伤性骨化性肌炎是一种病理状况，其特征为在暴力或反复创伤的诱发下，骨骼外形成骨组织。
一名30岁的意大利男子，在接受多发性面部骨折手术治疗后，出现张口逐渐受限的情况。计算机断层扫描显示左侧翼外肌纤维有明显钙化。初步诊断为左侧翼外肌创伤性骨化性肌炎。建议进行手术切除，但未实施。我们的患者接受了物理治疗，虽未使下颌运动完全恢复，但张口情况得到了可接受的改善。
骨化性肌炎是一种可由肌肉创伤引起的罕见并发症。因此，应特别注意手术创伤。在本病例中，根据文献考虑并向患者建议了手术切除，但由于他没有任何疼痛且日常生活活动未受到任何明显限制，他拒绝了手术。因此，他按照我们科室的指导方针接受了物理治疗，虽未使下颌运动完全恢复，但张口情况得到了可接受的改善。
