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Masticator Space Tumor Mimicking Temporomandibular Disorder Presenting Facial Swelling and Trismus

Journal of Oral Medicine and Pain 2019³â 44±Ç 2È£ p.65 ~ 68
Jeong Koo-Hyun, ¹ÚÁ¶Àº, ±è¹ÌÀº, ±èÇý°æ,
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 ( Jeong Koo-Hyun ) - Dankook University College of Dentistry Department of Oral Medicine
¹ÚÁ¶Àº ( Park Jo-Eun ) - Dankook University College of Dentistry Department of Oral Medicine
±è¹ÌÀº ( Kim Mee-Eun ) - Dankook University College of Dentistry Department of Oral Medicine
±èÇý°æ ( Kim Hye-Kyoung ) - Dankook University College of Dentistry Department of Oral Medicine

Abstract


Temporomandibular disorders (TMD), involving the masticator system of temporomandibular joint (TMJ) and masticator muscle, can be characterized with the cardinal signs and symptoms of jaw pain, noises and limitation of mandibular range of motion. However, TMD requires differential diagnosis due to its heterogeneous characteristics with various causes despite the similar clinical profiles. Oral cancer involving TMJ and the masticator system, although infrequent, can be one of these causes and should be considered one of the most life-threatening disease mimicking TMDs. This report introduces a case of masticator space tumor originally diagnosed as TMD in a 73-year-old Korean female with previous history of brain tumor. The clinical signs and symptoms closely mimic that of TMD which may have disrupted differential diagnosis. We discuss here key points for suspecting TMDs of secondary origin, namely, that of cancer and the implications it has on dental clinicians.

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Facial pain; Masticator space; Neoplasms; Temporomandibular joint disorders

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