Abstract

A case of myositis of both temporalis muscles in a craniofacial cleft is described. The patient was a 19-year-old male who underwent orbital translocation for hypertelorism thirteen months previously. He complained of bilateral painful temporal swellings and trismus with a high fever. Initially, antibiotic therapy seemed to be effective. At operation both temporalis muscles were slightly edematous but normal in color. No pus nor necrotic tissue was seen. A titanium plate and screws covered by the muscle on each side were removed. The postoperative course was uneventful. The histopathological diagnosis of the biopsied muscle was myositis.

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