Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint
We present a case involving a late diagnosis of chondroblastoma of the temporal skull base involving the temporomandibular joint (TMJ). Following an initial misdiagnosis and unsuccessful treatment over a period of 5 years, the patient was referred to our department for further evaluation and possibl...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2011-02-01
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| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/324640 |
| _version_ | 1811306084567089152 |
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| author | Junkichi Yokoyama Hitoshi Yoshimoto Shin Ito Shinichi Ohba Mitsuhisa Fujimaki Katsuhisa Ikeda Masaki Yazawa Nozomi Fujimiya Makoto Hanaguri |
| author_facet | Junkichi Yokoyama Hitoshi Yoshimoto Shin Ito Shinichi Ohba Mitsuhisa Fujimaki Katsuhisa Ikeda Masaki Yazawa Nozomi Fujimiya Makoto Hanaguri |
| author_sort | Junkichi Yokoyama |
| collection | DOAJ |
| description | We present a case involving a late diagnosis of chondroblastoma of the temporal skull base involving the temporomandibular joint (TMJ). Following an initial misdiagnosis and unsuccessful treatment over a period of 5 years, the patient was referred to our department for further evaluation and possible surgical intervention for occlusal abnormalities, trismus, clicking of the TMJ, and hearing impairment. Based on preoperative immunochemical studies showing positive reaction of multinucleated giant cells for S-100 protein, the final diagnosis was chondroblastoma. The surgical approach – postauricular incision and total parotidectomy, with complete removal of the temporal bone, including the TMJ via the extended middle fossa – was successful in preserving facial nerves and diminishing clinical manifestations. This study highlights a misdiagnosed case in an effort to underline the importance of medical examinations and accurate differential diagnosis in cases involving any tumor mass in the temporal bone. |
| first_indexed | 2024-04-13T08:38:04Z |
| format | Article |
| id | doaj.art-a276984f983e4d9b939ebd6b6dd4b8dd |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-04-13T08:38:04Z |
| publishDate | 2011-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-a276984f983e4d9b939ebd6b6dd4b8dd2022-12-22T02:54:02ZengKarger PublishersCase Reports in Oncology1662-65752011-02-0141748110.1159/000324640324640Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular JointJunkichi YokoyamaHitoshi YoshimotoShin ItoShinichi OhbaMitsuhisa FujimakiKatsuhisa IkedaMasaki YazawaNozomi FujimiyaMakoto HanaguriWe present a case involving a late diagnosis of chondroblastoma of the temporal skull base involving the temporomandibular joint (TMJ). Following an initial misdiagnosis and unsuccessful treatment over a period of 5 years, the patient was referred to our department for further evaluation and possible surgical intervention for occlusal abnormalities, trismus, clicking of the TMJ, and hearing impairment. Based on preoperative immunochemical studies showing positive reaction of multinucleated giant cells for S-100 protein, the final diagnosis was chondroblastoma. The surgical approach – postauricular incision and total parotidectomy, with complete removal of the temporal bone, including the TMJ via the extended middle fossa – was successful in preserving facial nerves and diminishing clinical manifestations. This study highlights a misdiagnosed case in an effort to underline the importance of medical examinations and accurate differential diagnosis in cases involving any tumor mass in the temporal bone.http://www.karger.com/Article/FullText/324640ChondroblastomaParotidectomyTemporal boneTemporomandibular jointTrismus |
| spellingShingle | Junkichi Yokoyama Hitoshi Yoshimoto Shin Ito Shinichi Ohba Mitsuhisa Fujimaki Katsuhisa Ikeda Masaki Yazawa Nozomi Fujimiya Makoto Hanaguri Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint Case Reports in Oncology Chondroblastoma Parotidectomy Temporal bone Temporomandibular joint Trismus |
| title | Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint |
| title_full | Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint |
| title_fullStr | Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint |
| title_full_unstemmed | Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint |
| title_short | Successful Function-Preserving Therapy for Chondroblastoma of the Temporal Bone Involving the Temporomandibular Joint |
| title_sort | successful function preserving therapy for chondroblastoma of the temporal bone involving the temporomandibular joint |
| topic | Chondroblastoma Parotidectomy Temporal bone Temporomandibular joint Trismus |
| url | http://www.karger.com/Article/FullText/324640 |
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