Chronic temporomandibular joint pain: two cases of osteoid osteoma and a review of the literature.

Publisher: Churchill Livingstone Country of Publication: Denmark NLM ID: 8605826 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-0020 (Electronic) Linking ISSN: 09015027 NLM ISO Abbreviation: Int J Oral Maxillofac Surg Subsets: MEDLINE

Publication: Copenhagen : Churchill Livingstone
Original Publication: Copenhagen : Munksgaard, c1986-

Bone Neoplasms/*complications ; Facial Pain/*etiology ; Osteoma, Osteoid/*complications ; Skull Neoplasms/*complications ; Temporomandibular Joint/*pathology; Adult ; Animals ; Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/surgery ; Diagnosis, Differential ; Facial Pain/diagnostic imaging ; Facial Pain/surgery ; Female ; Humans ; Middle Aged ; Osteoma, Osteoid/diagnostic imaging ; Osteoma, Osteoid/surgery ; Pain Measurement ; Pets ; Positron Emission Tomography Computed Tomography ; Radiography, Panoramic ; Skull Neoplasms/diagnostic imaging ; Skull Neoplasms/surgery ; Temporomandibular Joint/diagnostic imaging ; Temporomandibular Joint/surgery ; Tomography, X-Ray Computed

Osteoid osteoma is a benign bone tumour with self-limiting growth potential occurring in any part of the body. Two rare cases of a pathologically proven osteoid osteoma invading the temporomandibular joint (TMJ) are reported herein. This article also reviews the cases of osteoid osteoma of the craniofacial complex reported in the English-language literature to date. Although the clinical presentation of osteoid osteoma in the jaw differs from that of osteoid osteoma in the more common locations, the radiographic features are similar. In both cases presented, computed tomography revealed a small round osseous lesion with sharp margins in the TMJ. Bone scintigraphy was performed in order to differentiate the lesions from other osseous lesions. Both patients underwent surgical excision of the lesion with immediate relief of the pain. The importance of early recognition of the clinical and imaging characteristics of an osteoid osteoma of the TMJ is emphasized, in order to prevent misdiagnosis and avoid discouraging therapies.
(Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)

Keywords: nidus; osteoid osteoma; skull neoplasms; temporomandibular joint

Date Created: 20170513 Date Completed: 20180604 Latest Revision: 20180604

20240829

10.1016/j.ijom.2017.03.036

28495394