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J Oral Sci ; 52(3): 485-9, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20881344

RESUMO

In this report, we present a case of myositis ossificans traumatica (MOT) of the medial pterygoid muscle that had developed after mandibular block anesthesia administered for endodontic treatment of the lower right second molar, demonstrating typical features of this condition. MOT should be considered as a differential diagnosis when there is severe limitation of jaw opening and an associated trauma. Panoramic radiographs and axial and coronal computed tomography (CT) scans can effectively delineate the calcified mass. Other imaging studies that may be helpful include magnetic resonance imaging (MRI), bone scans, and ultrasound. As shown in our case, calcified masses were found in the right mandibular angle, which severely limited jaw opening. Some earlier reported cases of MOT were treated by extraoral surgical approaches with complete removal of the evolving muscle. The aim of this case report is to present only the diagnostic imaging aspects of myositis ossificans traumatica.


Assuntos
Miosite Ossificante/etiologia , Músculos Pterigoides/lesões , Lesões dos Tecidos Moles/complicações , Adulto , Tomografia Computadorizada de Feixe Cônico , Diagnóstico Diferencial , Humanos , Masculino , Miosite Ossificante/diagnóstico por imagem , Miosite Ossificante/patologia , Miosite Ossificante/cirurgia , Músculos Pterigoides/patologia , Músculos Pterigoides/cirurgia , Amplitude de Movimento Articular
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