Recidiv traumatskog osificirajućeg miozitisa temporalnog mišića

  • 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
Ključne reči: miozitis osifikans, temporalni mišić, hirurgija, oralna, procedure, recidiv, lečenje, ishod

Sažetak


Uvod. Traumatski osificirajući miozitis (Myositis ossificans traumatica ‒ MOT) se odnosi na benigno, lokalizovano ektopično formiranje koštanog tkiva unutar skeletnih mišića nakon trauma. MOT retko zahvata mastikatorne mišiće i tada predstavlja ozbiljan dijagnostički i terapijski problem za hirurge. Trenutno je tretman izbora potpuna ekscizija kalcificifikovane mase i resekcija zahvaćene kosti. Prikaz bolesnika. Bolesnik, star 47 godina, javio se na pregled zbog otežanog otvaranja usta mesec dana unazad, nakon ekstrakcije desnog donjeg umnjaka pod lokalnom anestezijom. Nalaz kompjuterizovane tomografije (CT) glave ukazao je na stvaranje ektopične kosti u desnom temporalnom mišiću i koronoidnom nastavku donje vilice. Učinjena je hirurška ekscizija kalcificirane mase i resekcija zahvaćene kosti. Šest godina nakon operacije, bolesnik se žalio na iste simptome. Nalaz CT glave je pokazao ponovnu pojavu kalcifikovanog tkiva unutar desnog temporalnog mišića koje se protezalo na medijalni pterigoidni mišić. Bolesnik je reoperisan i upućen na postoperativni fizikalni tretman. Zaključak. Zbog nejasne etiologije i čestih recidiva nakon hirurškog lečenja MOT predstavlja dijagnostički i terapijski izazov za hirurge. Dalja istraživanja su potrebna kako bi se razjasnili mehanizmi osicifikacije kod MOT u cilju razvoja konzervativnog tretmana.

 

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Objavljeno
2021/03/18
Broj časopisa
Vol. 78 Br. 2 (2021): Vojnosanitetski Pregled
Rubrika
Prikaz bolesnika