Pediatric Tumors of the Temporomandibular Joint

Gary F Bouloux1, Steven M Roser2, Shelly Abramowicz2

  • 1Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, 1365 Clifton Road, Atlanta, GA 30322, USA.

Insights

Pediatric temporomandibular joint (TMJ) tumors and pseudotumors are rare and can mimic TMJ dysfunction. This review covers common benign, malignant, and pseudotumor entities in children.

Area of Science:

  • Pediatric Radiology
  • Oral and Maxillofacial Surgery
  • Head and Neck Pathology

Background:

  • Temporomandibular joint (TMJ) tumors and pseudotumors are infrequent in pediatric patients.
  • Diagnosis can be challenging due to overlapping symptoms with temporomandibular joint dysfunction.
  • Accurate identification is crucial for appropriate management and treatment planning.

Purpose of the Study:

  • To review and categorize common tumors and pseudotumors affecting the pediatric temporomandibular joint.
  • To provide an overview of diagnostic challenges and key features of these lesions.
  • To discuss the differential diagnosis of pediatric TMJ masses.

Main Methods:

  • Literature review of pediatric TMJ tumors and pseudotumors.
  • Classification based on precursor cell type: benign, malignant, and pseudotumors.
  • Discussion of clinical presentation, imaging findings, and histopathology.

Main Results:

  • Benign tumors, malignant tumors, and pseudotumors represent distinct categories of pediatric TMJ masses.
  • Common entities within each category are discussed, highlighting their unique characteristics.
  • Recognizing specific features aids in differentiating these lesions from TMJ dysfunction.

Conclusions:

  • Pediatric TMJ tumors and pseudotumors require careful evaluation due to their rarity and potential for misinterpretation.
  • Understanding the classification and common entities is essential for accurate diagnosis.
  • Early and correct diagnosis facilitates timely and effective therapeutic interventions.