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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 47-year-old patient who presented a bone neoplasia &#40;T4N0 squamous cell carcinoma&#41; located on the mandible&#44; diagnosed in 2010 and initially treated with induction chemotherapy &#40;cisplatin-5-fluorouracil in an Al-Sarraf protocol&#41; and undergoing surgery&#44; with bilateral neck dissection&#44; hemimandibulectomy&#44; left mandibular reconstruction with an fibula implant and skin grafting&#59; subsequently he underwent treatment with 60 Gray of external radiotherapy and concomitant chemotherapy&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient continued treatment without noticeable adverse effects&#44; while maintaining the correct function of the mouth and lower jaw&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A few months after the end of treatment he presented pain&#44; swelling in the area of the jaw and progressive difficulty for flexion and extension of the neck and mouth opening&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A bone scan was performed&#44; showing localized technetium uptake in the mandible&#46; An axial minimum intensity projection CT scan of the neck &#40;MIP&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; and a 3D reconstruction &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; were subsequently performed&#44; showing an abnormal calcification linear stretching from the lower border of the mandible to the hyoid&#44; following the anterior digastric muscle&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Circumscribed myositis ossificans appears during the second and third decades of life&#59; the most common sites include the quadriceps muscle&#44; leg&#44; shoulder&#44; arm and hand&#46; Half of the patients have a history of multiple injuries or trauma in the affected area&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">1&#44;2</span></a> A similar case of myositis ossificans in the facial muscles is described in the literature&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Radiotherapy&#44; surgery and prolonged immobilization of the mandible are factors that may play a role in the development of myositis ossificans in these cases&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Treatment is usually conservative&#59; surgery is not recommended&#44; especially in the early stages and in our patient was strongly discouraged due to recent radiotherapy&#46; Treatment initially includes NSAIDs and rest followed by rehabilitation and physical therapy in order to restore function&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical Responsibilities</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of people and animals</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare this research did not perform experiments on humans or animals&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Data confidentiality</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their workplace regarding the publication of data from patients&#44; and all patients included in the study have received sufficient information and gave written informed consent to participate in the study&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have obtained the informed consent of patients and&#47;or subjects referred to in the article&#46; This document is in the possession of the corresponding author&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflict of Interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors have no conflict of interest to state&#46;</p></span></span>"
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