Incidental finding of an extensive oropharyngeal mass in magnetic resonance imaging of a patient with temporomandibular disorder: A case report
Omolehinwa Temitope T., Mupparapu Mel, Akintoye Sunday O.,
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( Omolehinwa Temitope T. ) - University of Pennsylvania School of Dental Medicine Department of Oral Medicine
( Mupparapu Mel ) - University of Pennsylvania School of Dental Medicine Department of Oral Medicine
( Akintoye Sunday O. ) - University of Pennsylvania School of Dental Medicine Department of Oral Medicine
Abstract
In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region. The mass occupied the masticatory space and extended superioinferiorly from the skull base to the mandible. A diagnostic biopsy of the lesion revealed a long-standing human papilloma virus (HPV-16)-positive squamous cell carcinoma of the oropharynx. This case illustrates the need for the timely radiological evaluation of seemingly innocuous orofacial pain.
키워드
Magnetic Resonance Imaging; Oropharyngeal Neoplasms; Human Papillomavirus 16; Facial Pain
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