Document Detail


Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis.
MedLine Citation:
PMID:  23053253     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Ankylosing spondylitis (AS) is a chronic inflammatory disease with multiple articular and para-articular involvement that has a predilection for the axial skeleton. In spite of its high prevalence, ankylosis secondary to AS is a rare condition. CASE REPORT: A 31-year-old male diagnosed with AS was referred for computed tomography (CT) of the temporomandibular joint (TMJ) due to severe mouth opening limitation. The patient had a 16-year medical history of AS and sought assistance due to TMJ pain and incapacity to open his mouth. RESULTS: Previous bony scintigraphy revealed involvement of the spine, sacroiliac joints, right knee, and left TMJ. Magnetic resonance imaging revealed erosion of the left condyle and posterior slope of the articular eminence, and a mass of heterogeneous signal intensity between these structures. The left condyle also presented sclerosis/edema of the bone marrow and the disk could not be identified. Sagittal and coronal CT images showed moderate alterations of the TMJ on the right side. On the left side, the images displayed markedly eroded condyle and mandibular fossa, and a bony mass resulting in ankylosis of the osseous components of the joint. CONCLUSION: TMJ ankylosis in AS patients is rare and very few reports have presented imaging features of the condition through advanced diagnostic techniques.
Authors:
Luciana Soares de Andrade Freitas Oliveira; Christiano de Oliveira-Santos; Daniela Pita de Melo; Marianna Guanaes Gomes Torres; Paulo Sérgio Flores Campos
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-11
Journal Detail:
Title:  Oral and maxillofacial surgery     Volume:  -     ISSN:  1865-1569     ISO Abbreviation:  Oral Maxillofac Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101319632     Medline TA:  Oral Maxillofac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Health Sciences Institute, Federal University of Bahia-UFBA, Av. Araújo Pinho, 62-Disciplina de Radiologia, Canela, 40110-150, Salvador, Bahia, Brazil, lucianafreitasoliveira@yahoo.com.br.
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