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• W2089250874 abstract "Tumor-like conditions of the temporomandibular joint (TMJ) are rare pathological findings whose signs and symptoms are often nonspecific. Uncommon incidence and confusing clinical and imageological information may contribute to misdiagnosis and eventually lead to either overtreatment or insufficient, ineffective therapeutics. The clinical archives of our department have been revisited on a search for cases diagnosed as unusual, tumor-like pathologies of the TMJ. Six complete clinical records were retrieved, with data analysis and summarizing conducted thereafter. Clinical records were reviewed for 1) demographic data, 2) general medical and dental history, 3) chief complaint, 4) presence/absence of pain, edema, mandibular deviation/deflection, malocclusion, and facial asymmetry, 5) history of trauma to the TMJ, previous treatments for temporomandibular disorders (TMD), and 6) history of the complaint. Available imaging records were reexamined, as well as histopathological data. Any other relevant data concerning the chief complaint were taken into account, if ever present. Surgical records were summarized, and data relative to follow-up were identified. Three cases of synovial osteochondromatosis, one of temporomandibular ganglion, one of osteochondroma and one of condylar osteomyelitis were retrieved from our archives. Pain in the affected TMJ was present in 4 of the 6 cases. Two patients had experienced previous treatment for TMD. All patients were surgically treated, and no recidivation occurred. In all cases, only after histopathological analyses could diagnosis be precisely made. While being a nonspecific symptom, pain did appear as the chief complaint on 4 of the 6 presented cases. Two of the patients had received conservative treatment for TMD, indicative of how misleading can be the traits of these tumor-like conditions. Progress in the imaging field would be of invaluable help on determining the nature of such lesions and thereby guiding treatment decisions, but definitive diagnosis still seems to depend on histopathological analyses." @default.
• W2089250874 created "2016-06-24" @default.
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• W2089250874 date "2007-09-01" @default.
• W2089250874 modified "2023-09-27" @default.
• W2089250874 title "Poster 258: The Diagnostic Dilemma of Tumor-Like Conditions of the Temporomandibular Joint: A Case Series" @default.
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• W2089250874 doi "https://doi.org/10.1016/j.joms.2007.06.527" @default.
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