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Infratemporal space pathosis mimicking TMJ disorders.

D A Keith1, M L Glyman

  • 1Harvard School of Dental Medicine, Boston.

Journal of the American Dental Association (1939)
|November 1, 1991
PubMed
Summary

Diagnosing facial pain and temporomandibular joint (TMJ) dysfunction can be complex. Some patients initially treated for TMJ issues were later found to have serious infratemporal space pathosis.

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Otolaryngology

Background:

  • Facial pain and masticatory system dysfunction present complex diagnostic challenges.
  • While many cases are straightforward, subtle symptoms can mask severe underlying conditions.

Observation:

  • Patients presenting with temporomandibular joint (TMJ) dysfunction were retrospectively analyzed.
  • The study focused on cases where initial TMJ diagnoses were later revised.

Findings:

  • A subset of patients initially diagnosed with TMJ dysfunction were subsequently found to have pathosis of the infratemporal space.
  • This highlights the potential for misdiagnosis in conditions affecting the masticatory system and surrounding structures.

Implications:

  • Clinicians must consider a broader differential diagnosis for facial pain, even with apparent TMJ dysfunction.
  • Early recognition of infratemporal space pathosis is crucial for appropriate patient management and improved outcomes.

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