Recurring myositis ossificans traumatica of temporal muscle: A case report

Saša Jović; Denis  Brajković; Milena Borilović; Uroš  Marjanović; Marko Brkić; Ružica  Kozomara; Srboljub  Stošić

doi:10.2298/VSP180806048J

Saša Jović Military Medical Academy, Clinic for Maxillofacial Surgery, Belgrade, Serbia
Denis Brajković Clinical Center of Vojvodina, Clinic for Maxillofacial and Oral Surgery, Novi Sad, Serbia
Milena Borilović Military Medical Academy, Clinic for Maxillofacial Surgery, Belgrade, Serbia
Uroš Marjanović Military Medical Academy, Clinic for Maxillofacial Surgery, Belgrade, Serbia
Marko Brkić Military Medical Academy, Clinic for Maxillofacial Surgery, Belgrade, Serbia
Ružica Kozomara Military Medical Academy, Clinic for Maxillofacial Surgery, Belgrade, Serbia
Srboljub Stošić Military Medical Academy, Clinic for Maxillofacial Surgery, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP180806048J

Keywords: myositis ossificans, temporal muscle, oral surgical procedures, recurrence, treatment outcome

Abstract

Introduction. Myositis ossificans traumatica (MOT) refers to a benign, localized ectopic bone formation within skeletal muscle bundles related to a traumatic injury. MOT rarely affects masticatory muscles, and it represents a major diagnostic and therapeutic problem for clinicians. Currently, the treatment of choice is complete excision of the calcified mass after bone maturation and resection of the affected bone. Case report. A 47-year-old male presented with a month-long severe restriction of mouth opening that was followed by extraction of the right lower third molar tooth under local anesthesia. A computed tomography (CT) scan revealed ectopic bone formation in the right temporal muscle extending to the right coronoid process. Surgical excision of the calcified mass was performed. Six years after the surgery, the patient reported the same symptoms. The CT scan revealed a calcified mass of the right temporal muscle extending to the medial pterygoid muscle. The patient was reoperated, and sent for the postoperative physical treatment. Conclusion. MOT represents a major diagnostic and therapeutic challenge for surgeons due to unclear etiology and frequent recurrences after surgical treatment. Further research is needed to clarify the mechanisms of ossification in MOT in order to develop conservative treatment approaches.

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