A POSTOPERATIVE NEUROSURGICAL TRISMUS -A CASE REPORT AND A LITERATURE REVIEW
Authors:
Politis Solon, Asterios Antoniou, Theodoros Grivas, Ioannis Astreidis Sofianos, Konstantinos Paraskevopoulos, Vahtsevanos Konstantinos
Affiliation:
Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki,, Thessaloniki, Greece
Doi: 10.54936/haoms242p38
ABSTRACT:
Objectives: The permanent trismus due to a myositis ossificans is a clinical situation that appears due to a spectrum of reasons. One of them is the postoperative trauma, that seems to be usual after a mandibular wisdom tooth extraction. According to the literature data, a neurosurgical postoperative permanent trismus seems to be unexpectedly rare, and our case report seems to be the second one to be added in the literature.
Materials and Methods: A 45-years-old male, was reffered to University Oral and Maxillofacial Clinic, due to a neurosurgical postoperative permanent trismus. A CT scan of the patient revealed a calcificated tissue just above and in touch with the right zygomatic arch, which was blocking the coronoid process during the mouth opening. The patient underwent a surgery of a coronoidectomy, as also, a partial zygomatic arch and calcificated tissue en bloc resection, as well.
Results: The histology report confirmed a myositis ossificans. The patient has an uneventful follow up since his surgical restoration of his mouth opening.
Conclusion: The surgical treatment of a permanent postoperative trismus due to myositis ossificans is the gold standard. According to the literature data, our case report strongly constitutes a significant addition to it. After bibliographic research, a neurosurgical postoperative trismus appears in terms of a case report only once.
KEY WORDS:
Authors:
Politis Solon, Asterios Antoniou, Theodoros Grivas, Ioannis Astreidis Sofianos, Konstantinos Paraskevopoulos, Vahtsevanos Konstantinos
Affiliation:
Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki,, Thessaloniki, Greece
Doi: 10.54936/haoms242p38
ABSTRACT:
Objectives: The permanent trismus due to a myositis ossificans is a clinical situation that appears due to a spectrum of reasons. One of them is the postoperative trauma, that seems to be usual after a mandibular wisdom tooth extraction. According to the literature data, a neurosurgical postoperative permanent trismus seems to be unexpectedly rare, and our case report seems to be the second one to be added in the literature.
Materials and Methods: A 45-years-old male, was reffered to University Oral and Maxillofacial Clinic, due to a neurosurgical postoperative permanent trismus. A CT scan of the patient revealed a calcificated tissue just above and in touch with the right zygomatic arch, which was blocking the coronoid process during the mouth opening. The patient underwent a surgery of a coronoidectomy, as also, a partial zygomatic arch and calcificated tissue en bloc resection, as well.
Results: The histology report confirmed a myositis ossificans. The patient has an uneventful follow up since his surgical restoration of his mouth opening.
Conclusion: The surgical treatment of a permanent postoperative trismus due to myositis ossificans is the gold standard. According to the literature data, our case report strongly constitutes a significant addition to it. After bibliographic research, a neurosurgical postoperative trismus appears in terms of a case report only once.
KEY WORDS: