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Updated: May 17, 2026

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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
Tuberculosis of temporomandibular joint
I R Matta1, P P Karnik, P S Pathare
1Department of ENT, Mumbai Port Trust Hospital, Wadala (East), 37 Mumbai, India.
Summary
Tuberculosis affecting the temporomandibular joint is rare and can be mistaken for parotid gland issues. This case highlights the diagnostic challenges posed by this unusual presentation.
Area of Science:
- Medical Sciences
- Infectious Diseases
- Otorhinolaryngology
Background:
- Tuberculosis (TB) is a significant global health concern.
- Temporomandibular joint (TMJ) tuberculosis is an exceptionally rare manifestation of the disease.
- The proximity of the TMJ to the parotid gland can lead to diagnostic ambiguity.
Purpose of the Study:
- To report a rare case of tuberculosis affecting the temporomandibular joint.
- To emphasize the potential for diagnostic confusion between TMJ tuberculosis and parotid gland pathology.
- To enhance awareness among clinicians regarding this rare differential diagnosis.
Main Methods:
- Case report presentation.
- Review of clinical presentation, diagnostic imaging, and histopathological findings.
- Discussion of differential diagnoses and clinical implications.
Main Results:
- The case presented with symptoms mimicking parotid gland pathology.
- Diagnostic workup confirmed tuberculosis of the temporomandibular joint.
- Histopathological examination supported the diagnosis of tuberculous infection.
Conclusions:
- Tuberculosis of the temporomandibular joint, though rare, should be considered in the differential diagnosis of TMJ and parotid region masses.
- Early and accurate diagnosis is crucial for appropriate management and to prevent complications.
- Increased clinical suspicion is warranted when evaluating lesions in the temporomandibular joint and adjacent parotid area.
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