Bilateral temporomandibular joint pseudogout

Abstract

Pseudogout is an acute presentation of one type of crystal deposition disease in which calcium pyrophosphate dihydrate crystals are found in the joint spaces of synovial joints. In this case, a 56-year-old caucasian male presented with right sided preauricular swelling, temporomandibular joint arthralgia and restricted mouth opening; he developed identical symptoms on the left side two days later.

Pseudogout of the temporomandibular joint: Immediate reconstruction with total joint arthroplasty

“…[5][6][7][8][9] Among these cases, only 2 articles present instances of bilateral TMJ involvement with pseudogout. 10,11 The most common treatment described in these articles consisted of an excisional biopsy of the lesion, followed by a condylectomy (with discectomy if clinically indicated.) Only 1 patient had the involved joint replaced with an autogenous osseous-chondral graft from the right seventh rib.…”