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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 3/2013

01-09-2013 | Case Report

Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis

Authors: Luciana Soares de Andrade Freitas Oliveira, Christiano de Oliveira-Santos, Daniela Pita de Melo, Marianna Guanaes Gomes Torres, Paulo Sérgio Flores Campos

Published in: Oral and Maxillofacial Surgery | Issue 3/2013

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Abstract

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.
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Metadata
Title
Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis
Authors
Luciana Soares de Andrade Freitas Oliveira
Christiano de Oliveira-Santos
Daniela Pita de Melo
Marianna Guanaes Gomes Torres
Paulo Sérgio Flores Campos
Publication date
01-09-2013
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 3/2013
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-012-0365-2

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