A case of bilateral temporal muscle myositis accompanied by rare facial cleft

A case of myositis of both temporalis muscles in a craniofacial cleft is de scribed. The patient was a 19-year-old male who underwent orbital transloca tion for hypertelorism thirteen months previously. He complained of bilater al painful temporal swellings and trismus with a high fever. Initially, ant ibiotic therapy seemed to be effective. At operation both temporalis muscle s were slightly edematous but normal in color. No pus nor necrotic tissue w as seen. A titanium plate and screws covered by the muscle on each side wer e removed. The postoperative course was uneventful. The histopathological d iagnosis of the biopsied muscle was myositis.