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

被引：4
作者：
de Andrade Freitas Oliveira L.S. [1 ]
de Oliveira-Santos C. [2 ]
de Melo D.P. [3 ]
Gomes Torres M.G. [1 ]
Flores Campos P.S. [4 ]
机构：
[1] Health Sciences Institute, Federal University of Bahia-UFBA, 40110-150 Salvador, Bahia, Av. Araujo Pinho, 62-Disciplina de Radiologia, Canela
[2] Department of Stomatology, Ribeirão Preto Dental School, University of São Paulo, São Paulo, CEP 14040-904, Avenida do Cafe, s/n, Bairro Monte Alegre, Ribeirao Preto
[3] Oral Radiology Post-Graduation Program, School of Dentistry, Paraíba State University-UEPB, Campina Grande, Paraíba, CEP 58499-283, Rua Tiradentes, 77, apt 301, Centro
[4] Oral Radiology Post-Graduation Program, Piracicaba Dental School, University of Campinas-UNICAMP, 40110-150 Salvador, Bahia, Av. Araujo Pinho, 62-Disciplina de Radiologia, Canela
来源：
Oral and Maxillofacial Surgery | 2013年 / 17卷 / 3期
关键词：
Ankylosing spondylitis; Magnetic resonance imaging; Scintigraphy; Temporomandibular joint; Tomography; X-ray computed;
D O I：
10.1007/s10006-012-0365-2
中图分类号：
学科分类号：
摘要：
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. © 2012 Springer-Verlag Berlin Heidelberg.
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页码：213 / 217
页数：4
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