Vishal Kulkarni, Ghosh Sirsendu, Kumar C Senthil, Rath Mukti Kantha, Madakshera Manoj Kumar
DO & Gd Spl (OMFS), Indian Army, Pune, India.
Dental Dept, Indian Army, Lucknow, India.
J Maxillofac Oral Surg. 2022 Dec;21(4):1377-1385. doi: 10.1007/s12663-022-01690-w. Epub 2022 Feb 4.
Traumatic myositis ossificans is rare pathology affecting muscles/soft tissue. Its involvement in temporalis muscle is rarely reported in literature. The aetiopathogenesis is unknown, the diagnosis is based on clinco-radiological findings. Surgical management and follow-up are paramount.
A database search was done using Science Direct and PubMed search engines along with other published and unpublished literature. The final publications were tabulated using a custom made Performa. The available publications were subjected to appropriate statistical analysis. The data were recorded on excel spreadsheet (Microsoft Inc), and review was made using Review Manager (Rev Man) software for meta-analysis.
A total of 21 articles were considered for systemic review and meta-analysis. Forest plotting for demographics included the gender predilection/age of involvement. The data segregation was done with "temporalis involved" group and "other than temporalis involved" group. The study was free of homogeneity ( 2 = 0.26 I 2 = 5%) for gender and age. The overall analysis revealed that Temporalis muscle although rare to be affected shows greater propensity for involvement. This is supported by a lesser degree of heterogeneity ( 2 = 0.000) with a I 2 value of (The test showed a higher degree of significance for overall effect of muscle involvement ( = 2.33, = 0.02) (< 25%). The test showed a higher degree of significance for overall effect of muscle involvement ( = 2.33, = 0.02) (< = 0.05).Case reports.Two male cases with similar age predilection, reported after sustaining trauma. Both the cases presented with limited mouth opening and ultrasound was done for the first time to arrive at clinic-radiological diagnosis. The management was conservative with temporalis myotomy and coronidectomy.
Traumatic myositis ossificans presents as a rare disorder that poses a dilemma to the treating surgeon. The present article makes an attempt to critically analyse the pathology that is scantly reported in the literature.
创伤性骨化性肌炎是一种累及肌肉/软组织的罕见病理情况。其累及颞肌在文献中鲜有报道。病因发病机制尚不清楚，诊断基于临床影像学检查结果。手术治疗和随访至关重要。
使用科学Direct和PubMed搜索引擎以及其他已发表和未发表的文献进行数据库检索。最终的出版物使用定制的表格进行列表。对可得的出版物进行适当的统计分析。数据记录在Excel电子表格（微软公司）中，并使用Review Manager（Rev Man）软件进行综述以进行荟萃分析。
共纳入21篇文章进行系统综述和荟萃分析。人口统计学的森林图包括性别偏好/受累年龄。数据按“颞肌受累”组和“颞肌以外受累”组进行分类。该研究在性别和年龄方面无同质性（χ² = 0.26，I² = 5%）。总体分析显示，颞肌尽管很少受累，但显示出更高的受累倾向。这得到了较低程度的异质性（χ² = 0.000）的支持，I²值为（该检验显示肌肉受累总体效应具有更高的显著性（Z = 2.33，P = 0.02）（< 25%）。该检验显示肌肉受累总体效应具有更高的显著性（Z = 2.33，P = 0.02）（< P = 0.05）。病例报告。2例年龄偏好相似的男性病例，在遭受创伤后报告。两例均表现为张口受限，首次进行超声检查以达成临床影像学诊断。治疗为保守治疗，行颞肌切开术和冠状突切除术。
创伤性骨化性肌炎是一种罕见疾病，给治疗外科医生带来了难题。本文试图对文献中报道较少的病理情况进行批判性分析。
