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Osteoid osteoma in mandibular condyle.

S Tochihara1, T Sato, H Yamamoto

  • 1Second Department of Oral and Maxillofacial Surgery, School of Dental Medicine Tsurumi University, Yokihana City, Japan.

International Journal of Oral and Maxillofacial Surgery
|November 27, 2001
PubMed
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Osteoid osteoma, a benign bone tumor, can affect the temporomandibular joint, causing pain. Surgical removal of the affected mandibular condyle led to a successful long-term outcome for this patient.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthopedic Oncology
  • Pathology

Background:

  • Osteoid osteoma is a benign osteoblastic bone tumor.
  • It commonly affects long bones but can occur in the craniofacial skeleton.
  • Temporomandibular joint (TMJ) involvement is rare.

Observation:

  • A 21-year-old woman presented with TMJ pain and trismus.
  • Radiography revealed an 8 mm subcortical sclerotic nodule on the mandibular condyle.
  • The patient experienced nocturnal pain, characteristic of osteoid osteoma.

Findings:

  • Surgical amputation of the mandibular condyle was performed.
  • Histopathology confirmed osteoid osteoma, showing proliferating osteoblasts and woven bone.
  • The patient remained symptom-free 8 years post-surgery.

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Implications:

  • This case highlights osteoid osteoma as a differential diagnosis for TMJ pain.
  • Early diagnosis and surgical intervention can lead to favorable outcomes.
  • Further research into craniofacial osteoid osteomas is warranted.