RESUMO
Myositis ossificans (MO) is a rare disease involving heterotopic ossification in the muscle or soft tissue. Myositis ossificans traumatica (MOT) disease presents as a calcification within the injured muscle, resulting from a single or repetitive injury. There are few reports of MOT in the masticatory muscles. The case of a patient with MOT in the medial pterygoid muscle caused by a complication related to the extraction of an erupted upper third molar is reported. The major symptom was severe trismus. Despite surgical treatment, the disease relapsed. MOT can lead to serious consequences for the patient. Its aetiopathogenesis needs to be better understood, so that the most appropriate treatment is established and relapses are minimized. This will improve the quality of life of these patients.
Assuntos
Dente Serotino/cirurgia , Miosite Ossificante/etiologia , Miosite Ossificante/terapia , Músculos Pterigoides/patologia , Extração Dentária/efeitos adversos , Adulto , Biópsia , Terapia Combinada , Feminino , Humanos , Imageamento por Ressonância Magnética , Miosite Ossificante/diagnóstico , Procedimentos Cirúrgicos Bucais , Modalidades de Fisioterapia , Radiografia Panorâmica , Tomografia Computadorizada por Raios XRESUMO
Vascular complications after head and neck surgical procedures are rare but can life-threatening. A pseudoaneurysm may appear weeks or months after the initial injury and may be difficult to diagnose. The authors report the case of a 43-year-old man involved in a motor vehicle accident presenting with multiple facial fractures, which after surgical treatment presented episodes of bleeding. After an angiography was performed, a pseudoaneurysm of the facial artery was detected. The patient later underwent endovascular embolization and had a satisfactory resolution.
