Myositis ossificans (MO) is a disease whose main feature is the formation of heterotopic bone involving muscle or any other soft tissue. Pathogenesis is not all clear, but trauma is universally recognized as a trigger event. Myositis ossificans can be divided into 2 classifications: MO progressiva and MO traumatica. The authors present a case of a 64-year-old man who was diagnosed with MOT of the left medial pterygoid muscle. The patient had a long clinical history of signs and symptoms of temporomandibular articulation related to previous conditions, and no major traumatic events were reported, apparently related to MOT.
According to the literature and World Health Organization, elderly people are specified as persons older than 65 years of age. The authors believe that the indication for surgery patients over 65 is based on the restoration of functionality and the aesthetics. The behavior of the surgeon has to change with patients aged older than 75 years where the restoration of function and, therefore, a good quality of life is far more important than the aesthetic restoration. In a retrospective study of 1022 patients consecutively hospitalized at Maxillofacial department in Roma, Università "Sapienza," the patients older than 75 years were analyzed. During this period, the data of all patients undergoing treatment because of trauma-related injuries were collected. Data were registered regarding etiology, localization of the injury, surgical treatment ratio, medium average stay, age, and sex distribution. Surgical treatment in these patients should be driven by the general condition of health whenever possible; reduction of facial fractures should be guided by the need to return a good quality of life for the patients. The goal of this study was to analyze a new group of population, people older than 75 years, that is, a real new and growing group of population.
Fast and early mandibular osteogenetic distraction could represent an optimal tool to avoid tracheostomy and to improve oral feeding in patients with rare conditions, such as LS.
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