Pseudogout of the temporomandibular joint: Immediate reconstruction with total joint arthroplasty
- 1 April 2009
- journal article
- case report
- Published by Wiley in Head & Neck
- Vol. 32 (3), 406-410
- https://doi.org/10.1002/hed.21074
Abstract
Background Pseudogout of the temporomandibular joint (TMJ) is a rare disorder with <40 reported cases in the English‐language literature. It is usually treated with surgical resection and condylectomy alone. Methods We report the case of a 68‐year‐old woman presenting with a preauricular mass resulting from calcium pyrophosphate deposition (pseudogout) in the TMJ, who underwent surgical resection with immediate reconstruction. Results Open surgical resection to completely remove the mass confirmed substantial erosion of the condyle and disc, necessitating condylectomy and discectomy. The joint was thereafter immediately reconstructed by total joint arthroplasty using a Christensen TMJ implant sized to the patient's anatomy. The patient was able to resume a regular diet and demonstrated marked improvement in her interincisal opening. Conclusion Immediate reconstruction of the TMJ with total joint arthroplasty is a safe and effective measure following removal of this (and potentially other) TMJ lesions. © 2009 Wiley Periodicals, Inc. Head Neck, 2010Keywords
This publication has 17 references indexed in Scilit:
- Pseudogout of the Temporomandibular Joint: A Case ReportJournal of Oral and Maxillofacial Surgery, 2008
- Calcium pyrophosphate dihydrate deposition disease (CPPD)/Pseudogout of the temporomandibular joint – FNA findings and microanalysisCytojournal, 2008
- Calcium Pyrophosphate Deposition of the Temporomandibular Joint With Massive Bony ErosionJournal of Oral and Maxillofacial Surgery, 2007
- ChondrocalcinosisThe Journal of Craniofacial Surgery, 2006
- A case of chronic calcium pyrophosphate dihydrate crystal disease (tophaceous pseudogout) in the temporomandibular jointOral Diseases, 2005
- Bilateral temporomandibular joint pseudogoutBritish Dental Journal, 2002
- Total prosthetic replacement of the TMJ: experience with two systems 1988–1997British Journal of Oral and Maxillofacial Surgery, 2000
- Bilateral pseudogout of the temporomandibular joint: Report of case and review of literatureJournal of Oral and Maxillofacial Surgery, 1995
- Calcium pyrophosphate dihydrate deposition disease of the temporomandibular joint: A case report and review of the literatureOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 1995
- Chondrocalcinosis of the temporomandibular joint: An external ear canal pseudotumorOral Surgery, Oral Medicine, Oral Pathology, 1992