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Sphenomandibular ligament calcification causing progressive restriction of mouth opening: case report and literature review
Author(s) -
Salha R.,
Shah J.,
Sidebottom A.J.
Publication year - 2014
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12064
Subject(s) - medicine , calcification , magnetic resonance imaging , computed tomography , ligament , radiology , anatomy
Abstract A 46‐year old male presented with a 3‐year history of restricted mouth opening following inferior alveolar block injections for dental treatment. An initial magnetic resonance imaging and subsequent three‐dimensional computed tomography scans reported the cause as lateral pterygoid calcification and temporalis muscle calcification, respectively. Physiotherapy was initially helpful but relapse occurred. Intraoperatively coronoidectomy was unsuccessful, and it was discovered that he had fibrosis and calcification of the sphenomandibular ligament. Release of this band improved his opening, and this has been maintained for 1 year.