Treatment of tophaceous pseudogout in the temporomandibular joint with resection and alloplastic reconstruction: a single-staged approach.

Autor: Dang RR; Department of Oral and Maxillofacial Surgery, Boston Medical Center, Boston, MA, 02118, USA. rushilrd@bu.edu., Noonan V; Division of Oral and Maxillofacial Pathology, Boston University Henry M. Goldman School of Dental Medicine, 635 Albany Street, Boston, MA, 02118, USA., Chigurupati R; Department of Oral and Maxillofacial Surgery, Boston Medical Center, Boston, MA, 02118, USA., Henry A; Department of Oral and Maxillofacial Surgery, Boston Medical Center, Boston, MA, 02118, USA.
Jazyk: angličtina
Zdroj: Oral and maxillofacial surgery [Oral Maxillofac Surg] 2022 Sep; Vol. 26 (3), pp. 505-509. Date of Electronic Publication: 2021 Oct 01.
DOI: 10.1007/s10006-021-01013-2
Abstrakt: Tophaceous pseudogout is a rare variant of the calcium pyrophosphate dihydrate (CPPD) disorder, with predilection for the TMJ. It is characterized by calcific deposits composed of rhomboid- or rectangular-shaped crystals that exhibit birefringence when examined under polarized light. We hereby present a case of a 65-year-old man with left pre-auricular tenderness and malocclusion. CT imaging was notable for a left TMJ mineralized mass with erosion of the condylar head. Treatment involved excision of the mass with eminectomy, condylectomy, and a stock total TMJ reconstruction. In this report, important considerations for diagnosis, biopsy, and surgical treatment with emphasis on reconstruction for tophaceous pseudogout of the TMJ have been highlighted by the authors.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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