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

  • Case Report
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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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Acknowledgments

We thank Conselho Nacional de Desenvolvimento Cientítico e Tecnológico (CNPq—Brazilian Research and Technology Council) for support provided through the Scholarship for Research Productivity program.

Conflicts of interest

The authors state that there have no conflicts of interest.

Author information

Authors and Affiliations

  1. Health Sciences Institute, Federal University of Bahia—UFBA, Av. Araújo Pinho, 62–Disciplina de Radiologia, Canela, 40110-150, Salvador, Bahia, Brazil

    Luciana Soares de Andrade Freitas Oliveira & Marianna Guanaes Gomes Torres

  2. Department of Stomatology, Ribeirão Preto Dental School, University of São Paulo, Avenida do Café, s/n, Bairro Monte Alegre, Ribeirão Preto, São Paulo, Brazil, CEP 14040-904

    Christiano de Oliveira-Santos

  3. Oral Radiology Post-Graduation Program, School of Dentistry, Paraíba State University—UEPB, Rua Tiradentes, 77, apt 301, Centro, Campina Grande, Paraíba, Brazil, CEP 58499-283

    Daniela Pita de Melo

  4. Oral Radiology Post-Graduation Program, Piracicaba Dental School, University of Campinas—UNICAMP, Av. Araújo Pinho, 62–Disciplina de Radiologia, Canela, 40110-150, Salvador, Bahia, Brazil

    Paulo Sérgio Flores Campos

Authors
  1. Luciana Soares de Andrade Freitas Oliveira
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  2. Christiano de Oliveira-Santos
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  3. Daniela Pita de Melo
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  4. Marianna Guanaes Gomes Torres
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  5. Paulo Sérgio Flores Campos
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Corresponding author

Correspondence to Daniela Pita de Melo.

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de Andrade Freitas Oliveira, L.S., de Oliveira-Santos, C., de Melo, D.P. et al. Unilateral bony ankylosis of the temporomandibular joint in a case of ankylosing spondylitis. Oral Maxillofac Surg 17, 213–217 (2013). https://doi.org/10.1007/s10006-012-0365-2

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  • DOI: https://doi.org/10.1007/s10006-012-0365-2

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